Only the Lonely Casualty

Nice shoes. I noticed them

when you were walking upstairs in front of me.

I don't believe that if you were walking upstairs behind me

you'd be looking at my shoes.

No, we need to open him up and find the bleed. We can't do that.

Zoe, I can.

Things aren't any better with the others.

To know would be to care.

I believe you're edging closer to that advanced trauma nursing course.

If you need any help with it, you can always ask me. Any time.

Oh, Dr Hanna, this is my patient and I must disagree.

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

Guys, look, I wrote "freak".

Shall we feed the freak, then?

THEY GIGGLE

Big deal. Uh...Laura!

Where are you going?

WHEEZING

If you're so hard, why don't you go in there?

Why don't you?

Go on.

I dare you to go in there and get a photo of him.

On what?

Use my phone.

Are you actually going to do it?

Yeah! I'm not afraid of the freakish freak.

WHEEZING

Taking a photo of the freak! Yeah, of the freak!

Go on. Go in.

All right.

She's going to do it! She's actually going to do it! Come on!

KNOCKING AT WINDOW

Ah, cool.

'We've got a dog bite in cubicles that's up to three hours.'

Mm... Welder with spatter in his eyes...

elderly lady with a suspected fractured hip,

and a teenager with abdo pains.

Right. Ah, Cal? Welder, cubicle two.

Ah, no can do. I'm doing the trauma course assessments with Tess.

Ah, since when?

I called to let you know.

Oh, my phone was switched off in the meeting. OK.

Let's get started.

Right, I'll deal with the welder. Erm, Ethan,

can you make a little old lady's day a bit better?

I will do my best.

Thank you. And, Connie, abdo pains in four.

Oh! Remind me to book you onto that trauma course.

Oh, no need. I did the trauma course in the States.

But this is England.

CLOCK CHIMES

GIRLS GIGGLE OUTSIDE

THUMPING

WHEEZING

Oh!

What are you doing? Give me that!

SHE SCREAMS

WHEEZING

GLASS SMASHES

Wait! What are you doing?

ENGINE STARTS

Just wait. Please. No, look, just wait.

Get in the house. I said, get in!

TYRES SCREECH

3006 to Control, patient's been treated at scene. Over.

Did you see that letter I left on your desk?

Yeah... Yeah, I did, thanks.

Planning on having a bit of a holiday, are you?

What, leave you to fend for yourself?

No, I thought I might come with you.

We can't both take leave at the same time, Jeff, you know that.

Whoa!

You're having a laugh. What's this, the Gumball Rally, or something?

Oh, no... No, no, no, no, no.

3006 to Control, we've come across an RTC at Junction 5 on the A408.

Looks like a single guy on a motorbike.

No other casualties involved.

Had to happen, didn't it? Had to happen!

Can you book us on the scene and inform the police, please, over?

OK, don't move, don't move, I'm Jeff, I'm a paramedic.

Hello, love, can you hear me?

I'm just going to lift your visor up, all right?

He must have been doing at least 70. Whoa, whoa, whoa, whoa!

OK... What's he playing at?

Oh, he's only a kid, Jeff.

All right, love, can you tell me your name and how old you are?

Right, we need to get this lid off, don't we?

Hey, mate! Do you know who he is?

What? No, stay still, stay still!

OK. Stay still, you've had an accident.

It's all right, you've been in an accident.

I'm Dixie, I'm a paramedic. Can you tell me your name? Ah! My leg!

OK. I know.

Just stay nice and still for me

and we're going to get you into the ambulance

and get you to the hospital as quick as we can, all right?

Right, we've got a male, about 20 years old,

came off a motorbike about 70 miles an hour,

he was briefly KO'd at scene with a GCS of 8, query fractured

pelvis, he's got a compound fracture to his left tib and fib.

Which one, please? Thank you.

GCS is now 15, his pulse is 95, his BP is 110 over 80,

sats are 96 on O2.

He's had Entonox, 10 of morphine and 500 of saline.

OK, let's get him across, please, nice and gently, OK?

On three - one, two three!

OK, here we go. HE SCREAMS

OK, try not to move.

Dixie, have you got a name?

He hasn't said.

Hello, I'm Dr Hanna, this is Mrs Beauchamp,

we're going to be looking after you. Can you tell me your name?

Everything hurts!

Yeah, well, we'll sort that out but it would be best if I knew who I was speaking to first.

Is there anyone we can contact for you? Girlfriend or a parent?

No. My dad's in America, working...

Right. Anyone else?

No. Aaah! There was a bloke at the scene.

I think he knew him. You, shut it!

Hey! It's not really in her repertoire, pal.

All right, no sign of chest injury, good air intake throughout.

Pulse 80 regular, BP cuff just inflating.

OK. Full trauma CT, please.

All right. When we get the results, let's prioritise the leg.

I agree. We'll get the Orthopods down once I've seen the films

and I know his pelvis is stable.

Do you need anything else, Zoe?

No. I'm all right. Thanks, Jeff.

OK.

Bet you anything that bike didn't belong to him.

How did you work that out, Miss Marple?

Well, he had no proper riding gear on, did he?

He had a helmet on.

Yeah. But...could've been with the bike when he stole it.

We should tell the police that that bloke was trying to

run him off the road. Yeah.

Right. I'm clear. Where would you like me?

RADIO: 'Holby Control to 3006. Are you clear for emergency call?

'Female patient, no details. 19 Elizabeth Street. Over.'

3006, received and on our way. Over.

Police are going to have to wait. After you, gentlemen.

OK. Allow me. Airway's clear. Breathing's equal but shallow. She's not shifting much air.

Don't forget, if the patient needs resuscitating due to

blood loss... Yeah, I know. Erm... Right.

She needs fluids and we need to get blood in

until we find out where she's bleeding from. Good.

And be confident in how many units you order.

Can I get two units of O neg

and can I get two large-bore peripheral lines in, please?

How about log-rolling me to find out where I'm bleeding from?

She's still bleeding heavily.

OK. Erm... Can we call for the rest of the bloods, please?

Robyn, you might want to cross-match that first. And you might want to stop putting me off!

Lily? We're ready for you.

And if the rest of you would like to get back to work.

Odd time to be tested.

People still get sick after hours, Max. That's why we have a night shift.

Don't look so worried. You'll ace it, all right?

SIREN BLARES

HE KNOCKS ON DOOR

Hello. Ambulance service!

It's very quiet and dark, shall I have a look round the back?

Yeah. This better not be a prank.

Everything all right?

Yeah. Yeah. I found this in the ambo.

Gotta be our kid from the RTC.

You need to hand that in to the Old Bill

when we get back to the ED.

Their problem now, isn't it? Yeah.

Hello?! There... There was a window open round the back.

There's nobody down here, I think they must be upstairs, but, erm...

Well, there's no lights either.

Hello? Paramedics!

Ambulance service!

Here we go, Jeff. Hello, darling.

My name is Dixie, I'm a paramedic, what's yours?

Is anyone else here with you?

I don't know.

OK. You just stay nice and still, don't move.

Your head's bleeding, love.

Lights not happening.

Right, we're going to take you into hospital and get you checked over.

THUMPING

What was that?

I don't know. I'll go and have a look.

You stay here. OK.

Mac, with me, please. Yep.

All right, darling...

Can you try the light for me, please? Yep.

Nope.

WHEEZING Bloody hell.

OK. Erm...

You all right there, mate? Ah, Zoe, the, erm... They've just come through.

No intra-thoracic or intra-abdominal injury

and we've cleared his neck radiologically.

He has an open book pelvic fracture but it's stable.

OK, let's fix the pelvic sling and keep it that way.

He's more alert so I've asked Orthopods to come down to talk to him.

That was my call.

Ah...you said go ahead once we got the films.

No, I wanted to be there.

Well, that wasn't clear.

There's a strong possibility that young man is facing amputation.

What he needs is a bit of sensitivity.

And you don't think I can do that?

No, what I think is that he needs continuity of care

and a clear sense of who is in charge and who's taking care of him.

Is she your daughter? Well, do you know her?

No. No. Is she all right?

Barely conscious.

Well, stop wasting time! Take her and go.

Yeah, yeah, we will do, mate. We just need to find out what's happened here tonight. Nothing.

But if you don't know who she is, what's she doing in your house?

Well, ask her. She let herself in.

HE WHEEZES

You're asthmatic, aren't you? Right, where's your inhaler?

All right...

Just tell me where it is, mate, I'll find it for you, OK?

Jeff? What's going on, mate?

OK, easy, easy...

Mac, can you get some oxygen, please, and grab a sats monitor?

Listen, do you have any medical condition

I should know about? Problems with the old jam tart? Jeffrey.

I just want to be left alone! Everyone go!

Mac, you're going to have to go with Dixie and take the girl in.

He needs to come in as well. How are we going to do that, Jeff?

You're going to call for a bariatric ambulance, OK, and the fire service.

Go. Right, mate, nice, easy breaths on this for me,

hold it in your hand. That's it - nice, easy breaths.

Did you want to keep any of these?

Nah. That's what Dad's credit card is for.

And does Dad have a name?

Mr Timberlake.

And you are...? Justin.

Well, maybe you can sing us a song later on.

But for now, I really would like to know who I'm talking to.

You have a very serious leg injury.

I'm not sure you realise just how serious.

The orthopaedic surgeons will be coming down to talk to you shortly,

because it's not something we can deal with here.

You're going to need skin grafts and an operation.

Possibly more than one.

They're going to try to realign the fractures in your leg.

And they may use external fixators,

which is when they put pins in the outside of your leg to try

and hold it in place to see if it heals.

Cool...

It will take months.

Well, you reckon I'll have a limp?

Best-case scenario, yes.

Best-case...?

Mmm.

What? You're not going to hack my leg off, are you?

I'm afraid that it is a possibility.

Why don't you tell us your name? Hm?

Nah. You're wrong.

Time is of the essence here.

This is a lot to take on. Are there any questions?

Nobody's touching my leg. Leave me alone!

Let's give him a moment.

All right, Jim, we're about ready to move you now, mate, OK?

We'll do it as quickly and efficiently as we can, OK,

I promise.

OK. Everybody ready. We're going to lift him up. Ready? Brace and lift.

HE MOANS OK, slowly...

Stop, stop, stop. Get your breath, mate. Everyone OK?

All right, let's begin. Ready, brace and lift.

OK, Jim, well done, well done, mate.

I can manage, I can manage. You got him? Can you manage?

Yeah. OK, OK, everybody step back, give him a bit of room.

Nice and slowly...

OK, I've got you. All right, Jim,

we're going to move you over to the bed, nice small steps for me, OK?

Take your time. And just nice, easy breaths as well, mate, please.

Now we're going to have you sat down on the bed now, mate, OK?

Nice and slowly, Jim, One, two...

HE MOANS

Well done, well done...

All right, take a breather, take a breather...

Now, Jim, you're not going to like this bit.

We have to lie you down now... What?

OK? We'll be as quick as we can.

Let's have him down then, please, OK, easy, gently...

There we go, mate, look at me, look at me...

Well done, eh? Hard work's over.

We're going to get ready to move you out now, mate. Well done.

How are you feeling, all right?

Tiptop.

OK.

They're just going to clip you up

and we'll move you towards the window.

You're doing really well, mate.

We're going to lift him. The command is going to be

"ready, brace and lift", all right?

When I say "lift". Ready? Brace...and lift.

And down for me, down! One more time! OK. One more.

Ready. Brace. And lift. Very good, well done, well done...

All right, clip him on, let me know when you're ready.

OK, I'm just going to climb over, be with you in a second, mate.

You've got my arm, yeah? OK, that's it, OK, lovely.

Here. Nice one, OK, ready when you are. Thank you.

How are you doing, Jim, OK? You're doing really well, mate.

Picked a lovely night for it, didn't we?

Nothing to worry about now, mate, except a few nosy neighbours.

They'll get tired and they'll go back to their tellies.

The lady I live with, she says I watch too much sport on the TV.

Do you like sport? Do you follow football at all?

No? No team? Just as well, really.

I wouldn't want to fall out with you.

Not from up here, anyway.

Stop fussing, would you?

It's all right, Tash. I'll handle this.

We found your wallet and ID in the ambulance, Leo.

So hand it over.

The police have got it.

Nice one.

They know the bike wasn't yours.

Got what I deserved, then, didn't I?

I don't make judgments like that.

I know the bloke in the car was after you.

I showed him. How?

Bike's a write-off, isn't it?

Do you know him?

You shouldn't be dealing with this on your own.

Are you sure there's nobody we can call for you? Is Mum around?

No, I already told you she isn't.

What about your dad? Surely he will want to come back from the States?

When he finds out what's happened, he's going to sue.

No-one's been negligent, Leo. You've had an accident.

You need an operation.

I'd rather die than lose my leg.

I didn't bring you in here for that.

Everything all right?

Yeah, I am just leaving. Mrs Beauchamp, this is Leo Wren.

Well done.

We're down now, Jim, we are down now, mate.

OK, well done, everybody, thank you. Next stop, Holby ED.

Listen, I want to get him sat up as quickly as we can

when he's on the stretcher, all right?

OK, thanks.

How did your talk with the orthopaedic surgeon go?

Ah, Zoe, meet Leo.

Leo.

The distal perfusion is still poor.

Leo, that means the blood isn't getting to this part of the leg.

You're lying.

No. She's not.

Do something about it, then.

If you agree to surgery, we've got a chance of saving it.

I said no and I mean no.

You put me under and I've got no choice.

There must be something else you can do.

We could pull the leg, put it in a back slab,

that could improve the distal circulation.

Whatever it is, just do it.

OK, can we stand by with a back slab, please?

Natasha, I need your help. The extra morphine should have kicked in by now.

It may still hurt, though, Leo.

OK, just get on with it.

OK, on my count. One, two, three...

HE SCREAMS Anything?

No pulse at all.

Can you hold him still, please?

We are going to have to go again.

No! Get in there. On my count... One, two, three.

HE SCREAMS

Well done. Well done, Leo.

Yeah?

Just.

Can we hold off on the back slab until we have stabilised him?

All right, well done. Well done, that is an improvement.

Right.

Dr Knight-In-Shining-Armour keeping you waiting, is he?

I haven't been called for my assessment yet, no.

Good luck.

Thank you.

Robyn, aren't you going to ask me how my moulage went?

Go on, then. How did it go?

It was brilliant.

I'm starting to wish I'd never even signed up for this course now.

Yes, madam? If you take a seat, someone will call your name.

Thank you. Yes, sir? How can I help?

I just wanted to check on a patient. Leo Wren?

I think he was brought in earlier.

Are you a relative?

Can I help? I'm the paramedic who brought him in.

Do you remember?

Yeah. I just want to check how he is.

Right, and you are?

Andrew Jarman. I'm his father.

Leo says his father's on business in America.

He's said worse in the past.

So what kind of dad drives off when his son could be dying, eh?

Did he make it?

Just. You practically chased him off the road.

He trashed my house, he stole my bike.

Two days ago, he threatened my pregnant wife.

Better luck with your next child, eh?

You don't know anything. All right. Do you want me to call security, Dixie?

No, no, it's fine. You all right?

Yeah, cool.

Jeff, what do we have?

This is Jim Marshall. 38 years old.

Jim has severe breathing difficulties, also developed

a bit of a wheeze, which has responded to a Salbutamol nebuliser.

His legs are extremely oedematous

and the ulcers on his leg will need attention.

Resps 30, pulse 100, BP's 180 over 110.

Right, Jim, nearly there, mate.

OK, can we stop, please? Mr Marshall, I'm Dr Chao.

I'm fascinated to find out how you got to this size.

You must be...what? 34, 35 stone?

I don't know.

OK, boys, I think we can manage from here. Cheers.

Let's get you through, shall we?

Don't worry, Mr Marshall, we've got a nice, quiet cubicle lined up for you.

For my benefit or others'?

It's rude to stare.

Whoa, rest, rest, rest.

If you are uncomfortable, just say. We are going to rock you up

and we are going to lift you across on three.

So let's do it, let's rock him up, one, two, three...

Jim, can you turn around towards me? OK, got him?

Keep going. And we are going back to the bed, me old son, all right?

That's it.

Let's move the legs.

Try and swing you round this time.

Let's go for it.

THEY STRAIN

Well done, well done, Jim.

Jim, do you want to put the gown on or...?

I'm not putting that on.

Let's get him another nebuliser and 40 of Prendisolone, please?

Jim, I am just going to have a listen to your chest, all right?

Jeff, didn't you put a line in?

Yeah, we had a go, but we had a few other things going on at the time, to be fair.

HE WHEEZES

I think you may have a chest infection as well as the asthma.

We'll get an X-ray as soon as the asthma is under control.

We'll pop by and see you later on, OK?

Rita, can you also get a line in, please?

Erm...yes.

The girl? Is she OK?

Yeah, she's being looked after.

We are just going to concentrate on you now, Jim, OK?

Martha? How are you feeling?

All your tests are done now, all right?

We're going to make you a little more comfortable

and take this nasty old collar off, OK?

No, get away! Leave me alone. Get him off me.

Social services?

I'm so sorry, Jim. I can't seem to find a vein.

I'll do it. It's fine...

But... I'm fine, Lily.

How long have the sores been like this?

Get in.

I've been treating the ones I could reach.

Not well enough. They're infected. I'll do some swabs.

You'll need antibiotics. Excuse me.

You need a larger one, that's never going to fit.

Aware of that.

I understand you're not registered with a doctor?

How has a man with your problems managed to slip through the system?

I didn't ask to come in here today.

If my breathing's OK, I want to go home.

I can take my antibiotics from there.

I think they have boarded your house up now.

May as well stay with us overnight, OK?

Rita, FBC, U and E, LFT and glucose first round.

Excuse me. The police need a word with Mr Marshall.

OK. All right.

Did they tell you? They've gone and made my leg worse.

I'm no expert, Leo.

But I do know that Dr Hanna

and Mrs Beauchamp are doing their best to save your leg.

Nah. They only want to move the problem on.

Nobody here works like that.

When my dad comes back, he is going to...

I met your dad, Andrew. He's a nice bloke.

What was he doing here?

Not sure. There's a million and one bikes out there.

Why steal his?

Why not?!

What was the plan?

Don't know. Take off around Europe. Pick up some work.

Maybe some girls.

Sounds like a good plan to me.

The travel or the girls?

Maybe both.

Who's going to be interested in a one-legged petrolhead with a death wish, anyway?

With a face like that and your scintillating small talk,

I'd say being one-legged is the least of your worries.

This is serious, Leo.

Yeah, I know.

Hello. This is Tina Conolly, Martha's mum. This is Dr Hardy.

This is Angela.

I'm here. I'm here.

We just went out for some chips.

Is she all right? Physically, all her tests are fine.

She has sprained her wrist

and was concussed for a time, she's been very lucky.

Why...why were you in that weirdo's house?

He made us. We were so scared.

I believe the police are talking to the owner of the house now.

He was brought in after Martha.

He's here? Why?

He's in a different part of the hospital.

The police will want to talk to Martha

when she's feeling a bit better.

I don't want to talk to them.

Mum, I just want to get dressed and go home.

What happened in that house tonight?

It was awful. I don't want to talk about it.

He didn't hurt you, did he?

I tried to get away but he chased me down the stairs.

Your blood sugar is significantly raised, Mr Marshall.

It looks like you've given yourself diabetes.

I think you know you only have yourself to blame.

Perhaps a chat with our dietician would help.

A social worker, if you're not coping.

How do you get your food, Jim?

Internet. Takeaways.

I have an arrangement with the delivery people.

I buzz them in. They bring the food up.

Mr Marshall,

you are morbidly obese. You need to adjust your diet otherwise

you're slowly eating yourself to death.

Can I have a word, Lily?

He's not a naughty child.

No.

He's a naughty adult who cheats and lies to himself about his condition.

I can do all the tests in the world but if he isn't prepared to do the

hard work then that's just a waste of my time and the NHS resources.

I don't think we should make any judgments about this man

until we know his full story.

If you're talking about the questions the police were asking,

I'm not interested. He's a patient to me, nothing more.

Tip-toeing around him is probably half the reason he is the way he is.

If we can't tell it to him straight, who will?

He's not going to change just because you tell him to.

Any more than you would if someone told you!

I suggest you get him some food. He is used to 6,000-plus calories a day.

He's probably starving right now.

You all right, Jim?

She's right. I think I'm...I'm just hungry.

Dr Chao takes some getting used to.

I don't expect anyone's sympathies.

Don't worry about that. She's like that with all her patients.

Especially the suspected... child-abusers.

Jim, we know it was you who called 999.

And ended up with half a dozen people in my house

and being suspected of the worst crime possible.

There are two sides to every story.

And I wonder who they'll believe!

The little girl, or the big, fat man she was taking photos of.

Your breathing's beginning to sound a bit difficult.

Let me just...

HE WHEEZES

OK. I'll get you something to eat.

I don't know how you got him to agree to surgery

but it's very impressive.

That's a pleasure. Complicated fella, this one.

He's going off. Pulse 120, resps 33, BP's in...

He's bleeding from somewhere.

It's not the leg. Could be the pelvis.

Think we are looking at a retroperitoneal haemorrhage.

OK, let's tighten this belt. Right, we will cross-match another six units, please.

We'll get another line in.

We will get bloods going on both, please.

Any word from theatre, Charlie?

Not free for another half an hour.

His sats are coming back up.

All right, Leo, you are still in the emergency department.

We are still looking after you. It's OK.

All right. You are all right, darling.

That is looking a bit better. Yeah, well done.

OK.

Lily, I just listened to Jim's chest. There's a murmur there.

It's not his asthma.

I really can't work with the nursing staff continually telling me how to do my job.

All right, Jim?

I think I need the toilet.

That's all right. That'll be all those fluids we're pushing into you. Urgently. OK.

Can I get a bit of help?

Gentleman needs to go to the loo.

Happy to take this leg.

That leg?

So we will start with the left leg, moving it around slowly.

OK, Jim? So left leg, right leg. Great, left leg. OK, Jim?

So we are going to lift up now, lads.

That's it, great, and we are going to gently lower to the floor.

OK, OK, nearly there, Jim. Great. OK, just take a moment.

I don't think I am going to make it.

That's all right. We need to check your urine anyway, so we will use a bottle.

Could you give us a moment? Thank you.

OK.

OK, Robyn, in your own time.

OK. Hello...

Do we have any name history? Any ID?

Martin Dennison. Normally in good health.

No known allergies.

OK. Hello, Martin, my name is Robyn.

You've been involved in an accident

but it's OK, you're at Holby City emergency department.

He's not making much sense. Strongly smells of alcohol.

OK, let's check his ABCs.

He appears shocked

but his vitals are unaltered

except for his pulse, which is now 110.

He's agitated and uncooperative.

And you have blood visible on the sheets.

OK, he's bleeding from somewhere.

So let's, erm, stabilise the neck and spine

and let's do a log-roll, please.

Let's assume time has passed

and the team discover a rear-entry stab wound to his upper back.

OK, let's get two units of O neg and cross-match six...

No, let's cross-match eight units of blood,

and can I check that someone's spoken to the lab?

OK, let's try and get this bleed sorted.

So you just take a minute

and when you are ready we will get you back into the bed, OK?

There is no rush.

You know, Jim, I know things have got out of hand

but in another way you have really tried to look after yourself.

You know, those sores, they could have been a lot worse.

I used leftover dressings and creams from when my wife was ill.

I wasn't always this big, you know.

Lucky, she didn't half take some chasing!

How did you get your wife to go out with you, then?

My natural wit and charm, she said. Did she?

You could say I slayed her with a dragon.

She like dragons, did she?

House is still full of them.

Is that where you nursed her?

The last few months. She loved our home.

Planned on filling it with kids.

I could never do what that child is saying I did.

I know.

If you were lured into someone's house, scared out of your wits,

you're not going to take a souvenir, are you?

I wouldn't but...I don't know, proof you were there?

She's saying he chased her down the stairs. You've seen the size of the bloke.

He's not going to chase anyone anywhere.

The only way he was coming out of his gaff was out the window. My thoughts exactly. Thank you, Jeff.

OK.

What's that?

Carol booked a holiday for us.

Supposed to be a surprise, I guess. I had no idea.

Walking up Machu Picchu.

I think I told her I'd never been anywhere more adventurous

than Blackpool.

Nice.

Hang on, isn't that the geezer from the accident?

It's all right, it's all right, darling, I will deal with this.

I'm sorry. It's been a rough few days.

That's what I came to say. I wasn't thinking.

Well, I provoked you for Leo's benefit. It doesn't matter now.

He's not dead, is he?

No. But his problems are only just beginning.

I didn't mean for any of this to happen.

I chased him earlier to explain.

I've known about him, but I never knew him.

That's the agreement me and his mother came to.

I'd say, judging by the state of your bike and your house,

Leo's found that harder to accept.

I've changed a lot since I was his age.

I am not that person any more.

Then why are you still here?

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

I would ask your son that one.

This is all my fault.

I work at the local pub a couple of nights a week.

Are you on your own?

I thought Martha would be all right with her friend.

But she tells me she's a bit of a bully.

I was worried about it, course I was.

But I need the work.

You OK? I'm Rita.

I'll see if I can hurry the discharge papers. Excuse me.

Will Martha have to be examined?

That depends a lot on what she is saying happened?

Social services have been informed.

They'll take it from here.

Will that freak go to jail?

Erm, that's not up to us.

I was going to get one of those phones.

Do they take good photos?

That's not your phone.

Mum...

PHONE: 'Weirdo!

'Hey, guys, look, I wrote "freak".

'I'm not afraid of the freakish freak.'

Did that man hurt you or not?

You've got really good instincts, Robyn.

You've just got to learn how to trust them.

Maybe he does like redheads after all.

Don't be daft. Lily, I just wanted to say thank you.

All your advice paid off. I got through it.

I'm not the one who had doubts!

Right, round up the troops. We might make last orders!

There's more to this job than making friends, Lily.

Mrs Beauchamp?

Can I ask you to look at a patient for me?

He's asthmatic but his breathing has changed.

He's also morbidly obese so I suspect he's got a heart problem.

Of course.

You've got a visitor, if you're up for it?

Family only, isn't it?

You've been having a rough time, yeah?

What gives you that idea?!

I'm sorry for hassling you and your wife.

I'm the one who should be saying sorry.

Your mum gave me an easy out.

Forget about it. I'd be the same.

Right, they're ready for Leo in theatre now.

I can hang around if you want.

You know, I always used to pretend to people you existed.

Always there when I needed you.

Don't worry about it. I don't.

Great timing, eh?

Your dad?

For me to learn to stand on my own two feet!

They won't take your leg unless they absolutely have to.

Will you be there when I wake up?

I can be.

Just can't shake you, can I?

You're right. There's a soft murmur at the apex.

Get a chest X-ray and an echocardiogram. Well spotted.

Sorry, Jim, the girl who was at your house,

she wanted to have a word with you.

Keep it brief.

OK. OK.

I've told everyone the truth.

That you didn't hurt me or anything.

I'm sorry I made you sick.

I did this. Not you.

Will you get better?

It's about time I tried.

I'm deleting this photo.

No. You keep it.

If I break my promise, you show it to me.

OK.

Here you go, sorry.

Thank you.

OK? Wayne, would you mind taking Martha back to her mum, please?

Jim. Don't let him fall on the floor.

I can't hold him.

Easy!

This isn't asthma.

Definitely cardiac. Let's get the crash trolley.

We need Furosemide and a low dose of diamorphine for the pain, please.

He's severely tachycardic.

RSI and intubation?

No, given his size, it's too much of a risk.

Waste of NHS resources?

I was talking about his attitude. He saved the NHS loads when he nursed his wife at home.

Don't you think it's his turn?

Sorry, Zoe, can you keep your staff under control, please? What's happening?

Excuse me. Right, I think he is going to need surgery.

Will you call up to Darwin and tell them I think

the mitral valve has blown?

They are going to need a pre-op cardiac catheter and a balloon pump.

I didn't anticipate anything this serious.

You got it. He just got there first.

Right, can we get some help, please? We need to get him on the trolley.

I don't know how we are going to do it. Can we roll him?

Yeah, bring it in.

Bring it over here.

I am Hank Marvin. Fancy a takeaway or something, on me?

Well, not actually ON me.

Yeah, Jeff. I get it.

No, you're all right, darling, you sort yourself out.

I've got a few things I need to check up on.

What's that? Is that the holiday you're booking?

It's the insurance on it.

They'll refund Carol's part of the ticket, but not mine.

Well, I know it's not much of a consolation prize,

but if you didn't fancy going alone...?

Actually, I think I might.

OK. I reckon she'd be with you in spirit, anyway.

RADIO: 'Control to 3006.'

3006 received.

'Possible broken collar bone at the sporting arena...'

Come on, then, no rest for the wicked.

I don't know. He was just really nice. Really encouraging.

Sounds like you're in there. I don't mean it like that.

But you'd like to! Ask him to join us.

Yeah, go on. I can't.

Sliding doors. Moments lost. Chances wasted. Go on.

What's the worst that can happen? Let's find out. Go on.

Right, follow my instincts.

Hi, beautiful.

Yeah, well, it is obviously his loss.

Yeah. You've still got us.

But not the guy.

On a lighter note, you are halfway to getting your trauma course qualification,

Which should help you deal with what just happened.

LAUGHTER To Robyn!

Cheers. You are so mean!

Dr Hanna, flowers.

For me? For you, yes.

Oh, someone's popular.

I thought they were for you. Probably some grateful patient.

They are lovely.

Mrs Beauchamp, Mr Marshall is in theatre now.

And you were amazing. Oh.

Yes, you did a great job today. I'm not sure

I would have spotted the mitral valve had gone.

Look, now I've got you both here, I was thinking,

if Lily's agreeable,

that I might take over from Ash as her educational supervisor?

Fine by me.

Well, I'll have to run it by Martin first

but I'm sure it won't be a problem.

Chat tomorrow.

It's been such a long shift, I am going to go to the pub.

Do you fancy a drink, joining me?

Erm, I tend not to drink on a school night. But thank you.

Fair enough. See you tomorrow.

Good luck.

Sorry?

Well, I think I have worked out what you're doing back here.

The adrenaline rush, isn't it?

It makes us think we can do just about anything,

even change an overstretched system for the good.

You don't think it can be done?

Probably not. But like I said, good luck.

A-ha.

Is there a problem? Not at all.

Right. Well, they say there's safety in numbers.

What are you having?

I don't know yet but whatever it is, it's going to be a large one.

We are still talking about the drink, yeah?

Definitely.

Listen, it's probably not my place - frankly, what would I know? -

but don't let this new surgeon come in and knock your confidence.

You're right, it isn't your place.

But thank you.

So, what can I get you?

It may have to cost less than ?3.

Really...you're not expected to buy the boss a drink.

I didn't think I was. I thought I was buying you one.

I've just had a really long day. Just don't.

OK.

Can I have a large gin and tonic, please?

I'm off, I will see you later.

See you later, mate. See you.

Max, where are you going?

Home.

Alone?

Yeah, you see, unfortunately, you're a doctor and I'm a porter.

The gap is as gaping as the age.

Shut up.

I haven't been sent flowers since last...

for ever.

They're gorgeous. Thank you.

Well, then, I guess they were worth it.

I stole them from a graveyard, by the way.

SHE LAUGHS