Who Cares Casualty

-I wasn't meant to stay.

-You couldn't drag yourself away.

-I've got to go.

-You want to see her?

-Yeah, but I don't want to turn up

in an ambulance, it'll freak her out. Come on, Dix.

-I'm not sure why you're doing this.

-Me neither.

'I could see her shoes right in the middle of the bedroom.'

Like hundreds of pounds, really classy shoes.

Right, ma'am, your carriage awaits.

'It was dangerous,'

unprofessional and totally inappropriate.

I'm sorry for leaving you in the lurch.

-You left your colleagues in the lurch.

-But minor injuries unit!

It's the adrenaline rush, isn't it?

Makes us think we can do just about anything.

Even change an overstretched system for the good.

-And you don't think it could be done?

-Good luck.

Zoe, got a Mr Francis on the phone for you.

Can't I even go to the toilet?

He said it was urgent.

-Nice lippy.

-Yeah, it should be.

Give him my mobile number and tell him to call me on there.

Just the person.

The busiest person. Can it wait?

I just wondered if it would be OK to attend that seminar next month.

-Er....e-mail me the date.

-I already did. Twice.

Right. Well, I will reply when I have time.

-Someone's in a good mood!

-I give it ten minutes.

These complaint files I said I'd sort.

-Looking like five already.

-I have found another lot lurking.

Believe it or not, I'm actually on top of all this.

Seriously. I am.

Always happy to help ease the load.

Personally, I find delegation the key to success.

-Anyway, I have a suggestion.

-Oh, yeah?

We bring the complainants in.

Face to face, we can reduce the paperwork in an instant.

MOBILE RINGS Um, yeah, all right.

Yeah? Good.

Mr Francis.

Trac-tor.

OK. And put it together.

Trac-tor. Tractor.

Good! Think we're ready to move on to the next level, don't you?

You don't know how long I've been waiting to hear you say that.

Behave yourself, young lady!

I love it when you get all masterful.

What's got into you today? OK, so, what's the title say...?

The...

Oh, I can't even read the title, I'm so thick.

-You're doing really well.

-Yeah, for a four-year-old.

Don't be so hard on yourself. I'm proud of you.

Really proud.

I've got something for you.

I'm not very good at arty stuff...it's a bit rubbish.

That's great! Thank you!

-You look pretty good for an OAP.

-Hey!

Ah! There's my birthday boy!

-Hello! I was going to come home for lunch.

-I'm going to take you out.

-You're not well.

-It's just a cold.

-I've got another meeting before I...

-I can wait. It's fine.

Oh, it's Fran, right?

Yeah. Do you mind if I don't, just cos...?

Yeah, sure.

We were actually in the middle of a reading lesson.

Well, we can pick up where we left off tomorrow, if you like?

Wow! Look at that!

I'll go and get some plates.

Oh, sweet! Is this from your niece?

Fran made it.

If you knew how good his niece is at art, you'd know that's a real compliment.

Yeah, I've not been grounded since I was 15. Quite excited, really.

Yeah, well, if you will go all maverick.

You'll be fine, not like you've been in trouble before.

Exactly. I'm not worried.

Well, I would be. Walking off a shift to transfer a patient

halfway across the country...

it's pretty off limits, I'd say.

(He's got a point.)

If you want to take a seat...

I think your bags have got bags.

Sounds about right, one for each kid, I reckon.

You can't keep doing doubles, you'll burn out.

I need the extra cash - four kids and a wife with a shoe habit.

I'm fine.

Pizza for breakfast AND lunch, eh?

This is a one-off, Doctor.

Hey, you, remember the rule?

-I wasn't sad.

-Good.

Now, remind me, what's the order of the Best Day Ever?

Bowling. Cinema. And staying up late!

Better get washed and dressed then, young man.

Oh, no, I don't think so, Mum.

There's definitely no washing on a day like today.

Almost done. You're being very quiet.

All right, well, I'll send these bloods off up to the lab

and hopefully we'll get them back in an hour.

Do you want a cup of tea or some water while you're waiting?

You're OK.

Careful!

Sorry!

Coat on! It's cold.

Don't have to, do I, Mum?

Don't push it, Blake.

MOBILE RINGS

Hello.

Yes.

What, now?

OK. Yep, I'll see you in a minute.

Stephen wants to go through a few final things before tomorrow.

He said half an hour, tops.

You said we'd spend all day together.

Well, I'll be back before you know it.

We'll still have time to fit everything in.

She can meet us at the park. Then we won't waste as much time.

Good idea.

OK then, Doctor. Are we walking, or taking the TARDIS?

Another one falls for your irresistible charm.

What, Fran?

You're joking, right? It couldn't be more obvious. What's wrong with you?

I know you think I'm oblivious, but you're wrong this time.

She's just a bit...intense.

-You sure you don't want any, Fran?

-No. Looks a bit sickly.

We should be saving ourselves for lunch, really.

Where are you taking me?

SHE CHUCKLES AND COUGHS

So, how long have you been here, Fran?

Oh, let me see, about three months now.

I was over in the Hilton but I found the service a bit too,

how shall I put it...in your face.

Sorry, Abs, I won't be more than half an hour.

It's fine. Reservation's not for an hour.

ABI COUGHS

I'll make a cuppa. Tea or coffee?

No.

Careful!

Gran!

Gran!

SHE WHEEZES

My leg's slipping!

I'm coming, Blake!

Aargh!

Gran! Gran!

It's all right, my love, Gran's here.

-My arm!

-Let's see.

Ow! Ow!

Just...keep it still. Don't move it.

Ow!

Oh... Not today. Please!

ABI WHEEZES

-I've lost my bag. It was there.

-Shouldn't leave stuff lying around. This place is full of thieves.

-Was it there when you left?

-Dunno.

-Why are you looking at me like that?

-I'm not!

-You think I took it?

-Look, if you did, I won't tell anyone.

I know it can't be easy. But if you needed help, you only had to...

Why would I want your stupid bag? I haven't got it!

-Prove it!

-Why should I?

-I really need my inhaler.

Drop dead for all I care.

WHEEZING GETS LOUDER

You are faking it, right?

Stop it. You're freaking me out.

You're just trying to get me into trouble.

Quick...I just found her.

Where's your inhaler? Where's her bag?

Have a look in the kitchen, will you? It's OK, just relax. Try and relax.

WHEEZING CONTINUES

Yeah. Ambulance, please.

-What were you playing at?

-Eh?

Mrs Gorecki, cubicle two.

Yeah, I've sent the bloods off.

She didn't need bloods doing.

She was waiting to do a urine sample. She's had an accident as a result of waiting so long.

Well, why didn't she say something?

She's got a limited understanding of English.

So I take it from that you haven't done Mr Jones's bloods in cubicle one?

I'll do it now.

Sort it out, Fletch. Otherwise I'm going to have to send you home.

Um... I was thinking it might be a chocolate day.

Do you think it might be a chocolate day?

Will you stop with the sad puppy dog eyes!

I'm not worried, so why should you be worried?

Excuse me for caring!

-Fussing, more like.

-Hey, I wasn't fussing!

Big Mac, you get a drop of that on my clobber and I swear I will kill you!

Blood's a nightmare to get out.

'Holby control to 3006.'

3006 to control, go ahead.

'A woman has collapsed at Stanley House Hostel, over.'

3006 to control, on our way. Over.

Right, come on then, big boy, chop chop.

Blake Heggarty.

-How you doing there, Blake?

-I think he's broken his arm.

OK, let's have a look at you in here.

She's clearly a little old lady who likes a good moan.

-Leave it with me.

-Thanks.

What was that about?

Apparently she's going to make a complaint against me disappear.

Oh, yeah, with her amazing empathy and bedside manner(!)

I don't know, she seems to be a force to be reckoned with.

All right, thanks, mate. She's asthmatic.

Right, OK, has she had any of her puffer?

-No. Her bag's disappeared.

-No sign there.

-What's her name, mate?

-Abi.

-All right, Abi, you are going to be fine, sweetheart. Can I have the nebuliser?

-On its way.

-Is she going to be all right?

-If we get her into hospital, we'll know a little more then.

Right, Abi, I'm just going to take your pulse, OK?

-Do you like being a doctor?

-Yeah, most of the time.

I want to be a doctor when I grow up.

-And what area of medicine are you going to specialise in?

-Time travel.

I see, that kind of doctor!

-Can you feel that?

-Yeah.

OK. I think we've got ourselves a torus fracture in the distal radius.

Which for those of us who aren't doctors is a posh way of saying a broken arm.

We'll have a look at the X-ray, but I don't think you're looking at anything too serious.

Can you prioritise us? We're a bit tight for time today.

Um, I'm afraid it doesn't work like that.

Well, please, could you make it work like that?

We've wasted enough time here as it is.

I'm not being difficult. I'm just asking if you could speed things up.

It's a special day for our family.

-Are you OK?

-I have heartburn.

-She got it at the park earlier.

-No, I didn't.

-That's why she couldn't catch me.

We're not here to talk about my digestive system, young man.

OK, my lovely. Let's get you hooked up.

I'll come.

-You don't have to.

-I do.

You're not improving, actually.

Mac, can you increase the oxygen air flow and I'll get a line in?

-Get on to the ED, let them know we are coming in as well, yeah?

-Will do.

Oh! Sorry, I came as soon as I could. Are you OK?

-What's happened?

-We just got the X-rays back.

So this is the fracture just here.

I'm pleased to say I was right, it's in a good position

so nothing too major, but it'll need to be in plaster.

Hope this wasn't a ruse to get to meet the real doctors.

I've asked them to hurry up.

Don't worry. We'll still have time for all our plans.

How long will it take?

Usually about 20 minutes, but I detect a sense of urgency

so I'll put my running shorts on, we'll have it done in ten.

We were going bowling.

Bowling's overrated. Stupid shoes.

I can still go to the cinema, though?

I don't know - what do you reckon, Doc?

-Can you eat popcorn with your good hand?

-Yeah.

-Then, I say it's fine.

-Mum says it's happy faces only today.

I think that's a great rule. So what's this special occasion for?

It's none of your business.

Mum!

It's private.

Um, I'm...

I'm going to prison tomorrow.

-Eva!

-What?

I'm not proud of it, but I'm not going to lie.

I'm sorry to hear that.

Only for six months though, eh, Blake?

I'll be out before your birthday.

-Are you going to stay with Granny?

-Yeah.

Of all the days.

It wasn't your fault.

I didn't get to him fast enough.

Mrs Heggarty, this heartburn you keep getting,

could you explain exactly where the pain is?

What pains?

We had pizza for breakfast. It didn't sit well.

Seeing as you're here, we'll get you booked in,

run a few tests, see what might be the problem, OK?

-Jeff.

-Hey, Zoe. This is Abi Cayton. She is 30 years old.

She's had a severe asthma attack.

We have given her two 5mg nebulisers of salbutamol with little effect and 500 of ipratropium.

Pulse is 100, resps 28, sats are at 96%. Still unable to speak in full sentences.

Is she going to be all right?

OK, Abi, I need you to shifty over when you're ready.

Lovely. Thank you.

Let's listen to your chest.

Let's repeat the salbutamol and stand by with 200 hydrocortisone IV.

Yes, there's still a mild respiratory wheeze.

She is getting tired - right, I need some bloods, FBC and U&Es and I'll do an ABG.

What's going on?

Can she speak?

Can we get a chest X-ray in here?

Is she going to be all right?

Right, we'll give you some more ipratropium.

-How much have you given her, Jeff?

-500.

-Let's give another 250.

Earlier?

When?

No, no, that's fine.

OK. See you later, thank you very much.

They've moved my interview forward.

They want me there at three o'clock.

Well, best get it out of the way.

I was always like this at school.

Never revised and always regretted it at the last minute.

Procrastination is the thief of time.

You're like a cat, Dixie. Always land on your feet.

We could role-play it.

-You what?

-The interview. Like a trial run.

Don't know why you're shaking your head. You're going to be the interviewer.

-Why can't you be?

-Because I shall be watching and giving notes.

People can die from asthma attacks.

-Don't think like that.

-It's never been this bad before.

That's probably because she's never had pneumonia before.

It sounds worse than it is.

It's basically a severe chest infection.

This shadowing area here shows you where it is.

-She's going to get better, then?

-A course of antibiotics, couple of nights in,

-she'll be back to normal.

-Can I see her?

-Yes, of course.

Don't worry, she'll be fine.

It's over.

KNOCK AT DOOR

Say "enter"!

Come in!

-Sit down.

-They'll probably say "take a seat".

OK, do you want to tell me what you were thinking whisking a seriously ill patient out of the ED

without the use of a fully equipped ambulance?

His mother was dying. And he wanted to see her.

And you think that was a good enough reason, do you?

Yeah.

What? I do!

You should probably say "I'm sorry and I'll never do anything like it again".

Well, I probably won't, will I?

-Definitely won't.

-I wouldn't put it past her.

OK, I'm really sorry. It was misjudged. I'll never follow my heart again.

I will become a robot and care a little less about patients with every passing day. OK?

Shall we try that again?

Blake said she didn't move as he fell.

Heartburn wouldn't stop you trying to help your grandchild if he was about to fall off a climbing frame,

-would it?

-No.

Let's run an ECG and get some bloods.

She's obviously a doctor dodger.

Zoe, a moment?

Depends how long a moment is.

Walk and talk, then. Do you remember a Mrs Shackles?

Name doesn't ring a bell. Why?

She claims you discharged her without a follow-up letter to her GP.

-I would've given her a letter.

-She didn't pick up her TTAs either.

Her UTI got worse and she ended up back in the ED a week later

-in a worse condition.

-No, I do remember her.

I told her to go to the pharmacy and definitely gave her a letter for the GP.

Great, that's all I need. Right, I'll see what I can do.

-Not sure this will go quietly, though.

-I have every faith in you. I'm sure you'll work your magic.

She's going to be absolutely fine, you know.

Severe asthma attacks can be distressing to watch.

I don't know what to do.

You don't have to do anything. You can go in if you like or ask him to speak to you.

No. No. It's fine.

I just...need to work out what to do.

Please...you don't need to worry.

Right, we're going to move you to a cubicle until a bed becomes available upstairs.

I was so scared. It's OK. Just relax.

-Fran...

-Not quite the ice queen she likes to make out...

-She just stood there.

-What do you mean?

-She watched me. She just watched.

-Try not to get too worked up.

-Stay as calm as you can.

-My bag.

-We couldn't find it.

-She stole it.

Fran? She looked for it.

She's a good kid. I know she comes across badly, but I know her.

She just stood there!

-She was probably scared!

-She said I could die for all she cared.

You don't believe me, do you?

Sorry...

I'll go and find her. I'll talk to her. OK?

Fuss and nonsense.

Thank you for indulging me.

Almost done.

I can't believe you had pizza for breakfast - that is totally awesome.

-And we're having burger and chips for tea.

-Oh, you are not!

That's pretty good, even if I do say so myself.

OK, there's some non-specific abnormalities

but nothing conclusive.

I told you I was fine.

Still, we'll repeat the ECG shortly

and my colleague here is going to take some bloods.

Belts and braces.

Mum? You all right?

Is there anything you're not telling us, Mrs Heggarty?

Bit light-headed, that's all.

Nothing else? Nausea? Headache?

Will everyone stop fussing, please?

-Bloods?

-Yes, please.

Fran!

Fran, stop!

I just want to talk to you.

Oi!

Fran, wait!

CAR ALARM GOES OFF

Fran!

Fran!

CAR HORN BEEPS

Move!

Come here!

-Get off of me! Get off me.

-Why do you want it, huh?

Huh?

Abi doesn't like me. What has she been saying about me?

-She said you stole her bag.

-I knew she was going to say something.

Well, did you?

Don't look at me like that.

-Let me have a look.

-Get off! Why do you believe her and not me?

Because she's my wife!

Yeah, well, we've got something special too, you and me.

You think there's something between us?

I don't like you in that way.

I'm so stupid, you did all this because you wanted to be with me.

-Give me...

-No!

Give me the bag!

She could have died!

Sam?

OK, just one more.

Blimey, are you going to leave any in me?

All right, we'll send these off up to the lab

and when we get the results back and we're happy,

you can shoot off, all right?

What are you doing?

That machine said I was fine. They can ring if there's a problem.

We're staying.

Well, you can. I'm going.

Now. Where did that nice nurse take my grandson?

-Help!

-Receiver, please, Robyn? Let's get her back onto the bed.

What's happening?

OK, we need to get her into resus now.

-What is happening?

-She's got a faint pulse.

-Let's go.

Sam, Sam! Stop it, you're scaring me!

Sam...please talk to me.

Hello, yes, help me... I need an ambulance.

Sam!

Charging...all clear.

Shocking.

Still in VT.

-Charging again. All clear.

-All clear.

Shocking.

OK, she's back in sinus rhythm.

Hi, Pauline, it's OK. You can relax.

-What happened?

-Your heart went into a funny rhythm.

Help me.

What is it?

I can't die.

'The address is a building site on the corner of Crowell Street.'

Roger, Rog, on our way.

Crowell Street? Hardly worth taking the ambo?

Good point. Shall I call them back and tell them to stop being so lazy?

Right, come on, chop chop.

Help! Please! I need...

-He's not moving!

-OK, right, what's his name?

-Sam.

-And do you know what happened?

Yeah, he fell onto that.

-Did you call an ambulance?

-Yeah.

How long has he not been breathing?

Er... I don't know, eight minutes...ten, I dunno.

-Come on, mate.

-Do you even know what you are doing?

I'm a paramedic.

Come on, mate.

It's not going to be long, the hospital is really close by.

I'm here, I won't leave you. I'll never leave you.

Quick as you can, mate. Hey, Dix.

Right, his name's Sam, he's been down a while.

-I'm not getting anything.

-How long has he been down?

Eight to ten minutes.

He had no cardiac compressions when I arrived a couple of minutes ago. Got an injury to his back.

-I think he fell on that.

-Yeah, he just fell.

OK, Sam, let's have you, mate.

-It was an accident. I didn't mean to hurt him.

-Do you just want to give him some space, darling?

Haven't you got to be somewhere?

It's only round the corner.

Go on. You'll be late.

-Come on, Sam.

-Sam, please don't die. I'm sorry. I'm so sorry.

-Come in.

-Is she OK?

Her heart's settled. But we're keeping her closely monitored.

Oh, Mum, I'm so sorry.

I can't believe I've done this to you.

-She's OK.

-But what if she's not? And Blake...

-Who's going to look after him?

-Is there another relative or a friend?

No, there's no-one. It was just me and Mum growing up

and Blake and I only moved here recently to be closer to her.

Are you sure there's no-one?

We've only got each other.

OK. I'll make a few inquiries, find out what your options are.

Ready, steady...slide.

What happened again, Jeff?

He fell into some fencing. He's got a penetrating wound to the upper left side back of his chest.

And how long has he been PEA?

Cardiac arrest ten minutes. In PEA ever since we got there.

Let's get the ventilator on and see what we're dealing with.

Stand by to do a log roll. I want to see how this wound looks.

OK, let's roll him on his side then, please.

-Jeff, will you call it?

-On three. One, two, three.

Yes, there it is - it's hit the aorta. Back down.

One, two and down.

OK. He's still in PEA, so continue CPR and we get

one milligram of adrenaline in. Can we call for three units of O neg

and another cross match 6?

And we've got a thoracotomy kit handy. Thanks, Jeff.

I was only talking to him an hour ago!

OK, stop a second.

No output and he's in asystole.

His wife's waiting to go to a ward.

-Should I get someone to go and get her?

-No!

Go quickly.

Hello. I'm Kathleen Dixon. Sorry I'm a bit late.

Very late.

You want me to go in now?

OK, OK.

Hello.

Sorry. I got caught up in an emergency.

What's happened?

Sam?

Stop a second.

There is still no output despite bloods and adrenaline. This isn't working.

-Do something.

-You going to open his chest?

Let's just think about this.

He's been down now at least 20 minutes and in cardiac arrest throughout with no attempts

at resuscitation on scene for approximately ten minutes, Jeff said.

He's had six units of blood?

12 units of blood, active CPR and adrenaline with no response.

He's been asystolic for the past eight minutes.

I don't think a thoracotomy's going to achieve anything.

What's happening? Can you do something? Can you try?

Are we all agreed?

-No!

-Abi, we are not helping him.

-We need to stop.

-No. Try something!

-I'm so sorry.

Please, just try something, please!

SHE SOBS

What did you do to him?

SCREAMING

-It was an accident!

-You OK?

-It was an accident!

Call the police! She had my inhaler!

She tried to kill me and now she's killed Sam.

Get her in my office. I'll call the police.

I'm not a bad person. I loved him!

Come on!

SHE SOBS

We're going to arrange another ECG, see what's going on.

What will happen now?

My guess is that one of the arteries in the heart became blocked,

which caused a heart attack, which in turn caused the abnormal rhythm

that made you collapse.

So the cardiologists will take you in for some further treatment and investigations.

-What about tomorrow?

-Don't worry. We'll find a way.

I have made a few calls and I'm afraid if there's no relative

or friend who is willing to take him, we are looking at temporary foster care.

Well, it won't be for long.

He hates being with people he doesn't know.

We don't have a choice, do we?

They'll be good, though, won't they? They'll make him feel safe.

This is all my fault. I'm never going to forgive myself.

No, Mum, there's nothing to forgive.

I'm the one who thought I was so clever,

I thought I could slip through that loophole without anyone finding out

-and all for the sake of a few quid...

-No, love...

Yes, Mum. And now I'm going to prison.

If you want to blame anyone, blame me.

Gran!

Hey! Don't look so scared. I'm fine.

The ECG showed there's a blockage but everything's looking stable.

You'll be going up to the cardiac catheter lab asap.

Well, it's not what we planned

but it's certainly a day to remember, eh?

-OK, go.

-I don't think so, Mum.

-Have fun!

-Do you want to go to the cinema or stay with Gran?

-Stay with Gran.

It's the three of us or not at all.

It's always been like that.

How's it going in there?

He's being put with emergency foster parents.

-They'll pick him up in the morning.

-Really? What, there was nobody else?

-Apparently not.

-Shame there's nothing we can do, he's a sweet kid.

-Nice family.

Police are on their way.

I didn't do any of this on purpose.

I'm not a bad person. You have to believe me.

So why didn't you help her?

I panicked. I don't know how any of this happened.

None of it makes any sense. I didn't think he would get hurt.

He's the last person...

He's always been so nice to me.

The only person that's ever looked out for me.

It was an accident,

but no-one's going to believe me, are they?

I wish I could just turn back the clock.

Well, we all wish that sometimes.

-You can use the office.

-Thank you.

Tell me you've got a spare cigarette.

-We've just heard.

-Poor Zoe.

Sounds like he was dead when they arrived.

How long had he been down? I...heard he was found nearby.

Yeah. The girl said ten minutes, but it was probably longer.

Surely as soon as that penetrating injury was found,

a thoracotomy was obvious.

No CPR for at least ten minutes. Didn't stand a chance.

Look, I'm not saying Zoe did wrong,

but, I don't know, I suppose it's the surgeon in me.

I think you and I know that chest should have been opened immediately

and, on top of her game, so would Zoe.

Surprised she didn't have the confidence.

I couldn't see him cos he was still in a coma.

THEY CHUCKLE

Well?

No way!

Yeah. I've been suspended, pending further investigation.

Nearly had me then.

I'm just going to look on it as enforced holiday.

I can't believe this.

Who am I going to annoy now?

Everyone you come into contact with? As usual?

Now, I have to work out what I'm going to do with all this lovely time off.

Whip-round?

Sorry. Heard about what happened.

Not much that could have been done.

-Try not to blame yourself.

-Sorry?

It's a hard call. Opening him up might have saved him, but...

I had the thoracotomy kit, all ready to go. He'd been down too long.

He was dead.

Have you got something to say?

-No.

-Good.

Because I was in there, and trust me, I made the right call.

OK?

Thanks.

Max, I need your help.

-Me again, I'm afraid.

-What's wrong now?

-Oh, smoking?

-I've just had one.

Sorry, it's just been a very long shift.

OK. You look tired.

-Isn't that just another way of saying terrible?

-No, not at all.

You know, after a day you've had today, what you need?

-A magic wand?

-Can't help with that. But a good bottle of Viognier.

Yeah, I might treat myself to a bottle.

No, I meant me and you, my treat.

What, like a date?

Five minutes in reception?

Yeah, OK, thank you.

You're the one who calls the shots round here, aren't you?

-Allegedly.

-Can we use the HDC?

We can't find any other solitary rooms and as it's not being used...?

Do I want to ask? No, I don't want to ask, do I?

-But as soon as someone needs it, yeah?

-Yeah.

You'll be going up to the cath lab pretty soon but in the meantime we'll keep an eye on you

in the high-dependency cubicle.

-Can we stay with her?

-I think you may want to.

Is there a family that wanted to watch a film and eat fast food?

Well, your room awaits.

Oh, cool!

Oh, I don't know what to say.

Well, it wasn't just me. Got my trusty assistant.

I knew you were trouble.

Takes one to know one, lovely.

Happy faces only, remember?

Right.

DOCTOR WHO THEME STARTS

Enjoy!

-Well done.

-They deserve a break.

They're not the only ones.

Thank you.

I had this thoracotomy kit standing by.

I could have opened him up, but maybe...

-What? He would have lived?

-Maybe I could've brought him back.

You made a judgment call.

No point in "what ifs" now, is there? Are you doubting it?

Yeah, no... Well, it's not just me doubting.

-What do you mean?

-It doesn't matter.

-Has someone said something?

-Martin made a comment.

Oh. You should just ignore him.

Oh, I can't, Connie. He's a good doctor.

And so are you. A better one.

Really, people in glass houses...

Right, I think we deserve another one of these.

Excuse me.

-You still here?

-Final shot of caffeine was needed.

-You look worn out.

-You need to work on your compliments.

-Aarghh!

-What are you doing?!

That's it, you're in no fit state to work.

-You need time off.

-I need the money!

Accidents happen, all right?

Yeah, they do, and we both know the consequences of making them.

-I've got a rest day coming up, I'm fine.

-No, you're not, Fletch.

No more double shifts. I mean it!

You need to slow down. Come on, let's go and dress that.

No. I'm going home.

Fletch, is everything OK? I know you're tired, but is there anything else I should know about?

I just need to get my head down for a few hours, that's all.

A spa day?

This is Dixie we're talking about.

-Parachute jump?

-A parachute jump?

Well, you know her better than anyone else, what would she want to do with this lot?

You lost your wallet? Let me guess. It's a whip-round.

-I didn't know she was there.

-So what am I getting?

Well, so far you're jumping out of a plane into a hot tub.

Nice!

How about we give it to that nice bloke behind the bar and drink the lot?

-This is meant to be for you.

-And that's what I want to use it for,

so you have to do as I say.

I wouldn't argue with her, mate, trust me.

Go on. Tell everyone it's free drinks all round.

Right, you horrible lot, Dixie says it's drinks all round.

-Ah!

-Thank you.

-Nice one, Dixie!

Didn't think you'd be here.

No, well... Look, I'm sorry if I was a bit of a tool earlier.

-Why change the habit of a lifetime, Jeffery?

-Just gutted for you.

-I know.

-I still think you were wrong for doing it.

But I wouldn't do anything differently if I had my time again.

Plus, I've always wanted the time to learn Spanish.

-Have you?

-No.

DVDs and chocolates.

That's what I'm planning. Maybe a bit of travelling.

Nice. Maybe it's time I got myself a suspension!

-It's not an easy role.

-You're telling me!

-You're doing fine.

-Fine? Was kind of hoping for better than "fine".

It's never easy losing a patient.

If you let the comments Ash made get to you then...

It isn't that. It's...

It's just everything.

It doesn't matter.

Well, it clearly does.

And I know what it's like. Clinical lead can be a very lonely place.

I thought I'd be OK, I thought I'd be good at it.

I've always been pretty good at whatever I put my mind to.

But this, I just... Don't get me wrong, I enjoy being a consultant.

I like going for a drink after work.

I'm a team player,

but the management and board meetings and paperwork?

Meetings about meetings, it just wasn't top of my list.

And I don't know whether I...

Listen, enough about me! Enough about me!

Let me get us the next one!