The Family Way Casualty

-I'm not worried.

-I would be. Walking off a shift

to transfer a patient across the country - pretty off-limits.

I've been doing a bit of moonlighting,

-mini-cabbing on the side.

-You can't possibly give your best here

-if you're permanently exhausted.

-I've been suspended

pending further investigation.

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

I'm not saying Zoe did wrong, but I think you and I know

that chest should have been opened immediately.

I had the thoracotomy kit standing by, all ready to go.

He had been down too long, Martin. Trust me, I made the right call.

Morning.

So, is he naked?

No. No, he's not naked.

So why does he want a gown?

You'll see.

You know I've got that meeting at 9:30 today?

Morbidity and Mortality. Yeah.

You don't have to go if you don't want to.

-Would you prefer it if I didn't?

-It's up to you.

Then I'll be there. I need to be there.

How is Ella?

She's....

not happy.

But then again, neither am I.

-Straight through to the left. I'll just...

-It's fine.

-I just thought that...

-Are you deaf?! I said it's fine.

Nice legs!

The idea is to attract

-a younger clientele.

-Mm.

-What's wrong with the old clientele?

-Nothing.

I'm not trying to alienate them.

They want to eat in an Italian restaurant,

not a Swedish furniture store.

But the younger clientele don't,

and they're the ones that spend the money.

You just want to impress your mates.

It's nothing to do with my mates.

Let's concentrate on impressing the customers we do have, huh?

No point in rocking the boat.

We're doing very nicely, thank you.

At least let me show you the business plan.

Do you think your mum and me had a business plan

when we opened this place?

The only plan we had was to serve good Italian food.

It worked then, and it's works now.

SHE SIGHS

Try this.

Oh, that's superb.

I thought you'd like it. Lisa, do you want a taste?

I'm fine.

There won't be another restaurant in 100 miles

that does a pasta dish like that.

Maybe there's a reason for that.

That is not called for.

These restaurant chains don't just throw together their menus,

they work from a marketing strategy.

They don't do a pasta dish like that because they can't.

I'm just trying to think of the future.

Our regular clientele are getting older with every year.

We should think of the future.

You make it sound as if we're about to go bust.

-No!

-We average 20-30 covers every lunchtime,

40-50 most evenings.

But for how long?

Five years ago, before Mum died, we were doing 40-50 at lunch.

She was a great chef. People loved her food.

And they love Zed's, it's just...

nothing stays the same forever.

We do new specials all the time.

But what sort of specials?

-Argh!

-Where did you get this recipe from?

It was one of Mum's.

So it's not new, it's old.

I don't know what your problem is,

but you should be backing your sister, not putting her down.

If that's what you think, then...

Good morning. I am Dr Chao. What seems to be the problem?

Superglue.

-Where and what?

-May I?

-Can't you just tell her?

-She does need to see.

So where's the glue.

All over. The, erm...garments have been stuck to his body.

Right.

How did this...?

-He thinks probably Rohypnol.

-Not your drug of choice, I suspect.

-No.

-He was in the gym this morning

and he thinks someone must have spiked his high-protein drink.

-Right.

-One of his competitors.

-He's not just any old competitor.

He's the loser that always comes second.

-He's never beaten me, never.

-At what?

Body-building. Mr Crosby's a body-builder.

After the drink, the next thing I remember is waking up

propped up against a lamp post dressed like...

And in five hours' time he's got the, Erm...county finals?

The South West Area Finals. I'm hot favourite.

I've got the best lat spread in the UK, bar none.

And he doesn't want to do it in women's knickers.

I'm sure he doesn't. I'll see what I can do.

Seen Fletch?

-No.

-I've an M&M meeting,

-so, when you see him, tell him to keep an eye on things.

-Yeah, sure.

Zoe, would you like me to take this meeting?

-No, why would I?

-I could help direct questions.

-I'm happy to answer anything.

-Yeah, course, I just thought

-it might make it easier for you.

-I'm fine. Thank you.

Oh, thank you.

OK, everyone, let's sit down.

Right, let's start with the case

that I was involved with a few weeks ago.

Sam Cayton.

Would Miss Hazel come to Room Two?

That's Miss Hazel to Room Two, please.

Thank you.

It's OK. It's OK. I'm not angry.

How did you know I was here?

I can be very resourceful when I need to be.

I... I...

All I want to do is sit down and talk it through with you

so that you know exactly what it is that you're doing.

-I can't...

-Amelia...

No!

Amelia.

Amelia, where are you going?

I need to... I just need to...

All I'm asking is that we talk.

I'm not doing anything wrong. It's not illegal.

How can killing someone not be wrong? And of course it's wrong.

I'm not killing someone.

You have a child growing inside you.

If you go through with an abortion, that child will be dead.

How is that not killing someone?

PHONE RINGS

'I've got a quick pick-up for you, take you half an hour tops.'

No, look, I better not. I'm going to be late for work as it is.

HORNS BLARE

'So, can I put you down for it?'

No. I.... Hang on, hang on.

CAR HORN BLARES Amelia!

He was in PEA when he arrived

and we made the decision quite quickly to stop resuscitation,

so there was probably 15 minutes,

but he'd been down considerably longer pre-hospital.

There was no attempt at CPR for about ten minutes at the scene,

until Dixie arrived.

Sorry.

Did you consider any other action?

Such as?

A thoracotomy?

Yes, I thought about it.

But you decided against it?

It wasn't as straightforward as that.

It's never straightforward.

Would a thoracotomy have maybe been worth a go?

I don't see what there was to lose.

I didn't consider it worth cracking open a patient's chest

on the slightest possibility, and I don't believe any consultant

who'd have been under those circumstances

would have done anything differently.

Martin, you've been in the ED long enough to know how Resus works.

Any thoughts?

Any other questions or observations regarding this case?

OK, let's move on.

Martin, you had two sudden deaths in one day.

I would like to start with the 19-year-old

who suffered the subarachnoid.

Jason Lister.

Ethan, you were treating him as well, yeah?

This was the youth who'd taken ketamine.

Yes, the initial injury was a fall. Is that correct?

Was there multiple injuries?

Yeah. Yes... He was a mess.

So where did the ketamine come in?

He had taken ketamine prior to his fall...

he had a therapeutic dose here.

He reacted badly to the drug and became hypertensive.

Postmortem indicated this led to...

..the rupture of a pre-existing berry aneurism.

We...

We...erm...

Well, I think what is probably concerning people here,

is the fact that we have had three sudden deaths

in a very short space of time.

Now, the questions we need to consider

are what are the commonalities

and, more importantly,

is there anything we need to change

when handling a similar case in the future?

Ash, for what it's worth, I just want to say

you did what any one of us would have done.

But not everyone has a daughter like mine.

Without her, this situation wouldn't have happened.

Yes, well... The thing I'm learning in the ED

is that you've got to go with your instincts.

Hesitate and all is lost.

So what should my instincts have been

with a 19-year-old full of ketamine?

Oh... Just what you did.

But I got it wrong.

No, no. He got it wrong.

He lied, he tried to get away with it. He couldn't.

No, the, erm... The thing that I was referring to

was to the thoracotomy that didn't happen.

I honestly believe a life could have been saved there.

Yeah. Well... I've handed in my notice.

-You what?

-After Jason, I told Zoe.

So I'm just working out my notice now.

Where are you going?

Nowhere. I need to spend some time with Ella.

Yes, of course.

Well, that's a shame.

-I had to do something.

-I can see that.

I don't know what I have to do to impress you.

You don't have to do anything. You're my daughter.

Maybe you'd think more of me if I wasn't.

You know what Zed was like when she first came to us.

That had nothing to do with me.

She needed serious care and attention!

I was 16, and what I didn't need was to be ignored.

-Nobody ignored you.

-You're ignoring me now!

What, because I don't want my restaurant turning into

some design concept with no heart?!

And that about sums it up. You think I'm heartless.

-I didn't say that!

-Not in so many words.

OK, I don't cook. I don't drool over photographs of Bologna,

but I'm still your biological daughter.

I know that.

Then it would be nice if just for once you acted as if I was.

This is all in your head.

-And that's it?

-I don't have time for this nonsense!

Fine. If that's how you want it.

-Fine.

-What's wrong this time?

It's...

Something and nothing.

The design she's been working on?

You know about it?

I didn't mind it.

-Dad.

-Look, Lisa.

Listen, it's obvious I don't really fit in,

so I've decided to quit the restaurant.

I'm ignoring that.

-No. Listen...

-Oh!

Argh!

-OK, OK...

-Lisa, quick!

-Quick!

-OK, OK, move.

You OK?!

Zed?

Zila! It's OK.

-We'll get an ambulance.

-What?

Don't move! Stay still. Stay still.

SIREN WAILS

It hurts. It really hurts.

OK, well, look, the ambulance is here now, just keep still for me.

You're going to be OK.

-Are you injured at all?

-No, no, no, I'm fine.

This is becoming a bit of a habit, isn't it?

-Hanging around street corners waiting for accidents to happen?

-Just passing.

-Is that your mini cab?

-Yeah.

-You were lucky, mate.

-Exactly?

-OK, what we got?

-OK, pedestrian versus car, somewhere between 30-40 miles an hour.

She's hit her head but she wasn't KO'd. I've immobilised her neck as best I can.

OK, sweetheart. I'm Jeff, I'm a paramedic.

-Can you tell me your name?

-It's Amelia Myles.

Sir, if you don't mind...

-I'm her father.

-I appreciate that, but I need to hear it from her.

-Sorry.

-It helps me assess.

OK. So, Amelia, have you got any pain anywhere?

It's in her shoul... Sorry.

My neck and my shoulder are really painful.

-Anywhere else?

-My stomach.

-Collar and board, Jeffrey?

-Yeah.

Do you have any breathing difficulties, Amelia?

I don't think so.

OK, I think what we'll do is we'll immobilise her neck.

It's just a precaution, really. We'll do that with a collar, give you something for the pain.

-Get you to hospital. Get you checked over, and that's you.

-OK.

I'm going to give you some Entonox. Keep your breathing nice and easy.

What about the baby?

-Baby?

-She's pregnant.

-Right, OK, how many weeks?

-16.

How does your baby feel?

I don't know.

Have you felt your baby move at all today?

I think so.

If your baby moves again, just let me know, all right?

I remember putting my hand on your mum's tummy, to feel you kicking.

I've tried using a gym but I just get really bored.

Motivation is everything.

You must have some serious motivation.

How many hours a week do you spend working out?

It doesn't matter how many hours you take, it's what you do during those hours.

Yeah, but what stops you getting so bored?

The need to be numero uno - the best, and that's what I am.

Not a loser like the rest of the world.

-Is it working?

-Yeah, it's working.

Only these two are slower than a tortoise with one leg.

Would you prefer they left you to it? Because I can assure you

there are plenty of other patients with genuine illnesses.

No? OK. Good.

-What's rattled her cage?

-You, at a guess.

-I'm going to leave you to it. I'm late enough.

-All right, thanks, mate.

All right? Cheers.

Hey.

-Tamzin?

-I'll catch you later. We're on a shout.

Well, there's a turn-up for the book. She's back.

Yeah.

You're going to be OK. I'll make sure of that.

OK, thank you, Zoe. This is Amelia Myles.

She's 18 years old, 16 weeks pregnant, involved in an RTC,

car was travelling between 30-40 miles an hour.

She wasn't KO'd. Fractured clavicle,

she has pain in her ribs and abdomen and stomach cramps,

but no PV bleeding.

GCS been 15 throughout. Pulse 80, BP 130 and sats 97%.

She's had 5mg of morphine so far. OK, you fit?

-Is the baby going to be all right?

-We hope so. Hello, Amelia, I'm Zoe, one of the consultants here.

My neck and shoulder are really painful.

OK, Dr Hardy - can you start primary survey?

Yes. Hello, Amelia. My name is Ethan. I'm another doctor,

just not as important as Zoe. I'm going to ask you to lie as still as possible

while I check your chest and stomach. Tell me if there is any discomfort, all right?

What about those cramps, how bad are they?

Not too bad.

OK, can we get another line in and get some bloods? Ethan, how you doing?

Yeah. Airway's obviously clear.

Chest and breathing sound good.

There is some minor bleeding to a wound on the back of the head.

It's going to be OK. Babies are very resilient.

This is payback.

For what?

What I wanted to do. What I was going to do.

Amelia, let the nurse get on with her job.

-Sorry.

-It's OK.

-It's all going to be fine.

-You know I always look after you.

Is there anybody you want me to ring?

You better let Mum know.

No. I'll tell her when I think it's right.

I'll be right back.

-Tess.

-You're here. What time did you manage to show?

-That's what I wanted to talk to you about.

-You did well to walk away from that one, son.

-From what?

-The RTC that the young lady was involved in.

-You were in an accident?

-It wasn't his fault.

-No, it wasn't my fault.

-Why didn't you say?

He's too busy worrying about his cab being off the road for so long.

-You promised.

-I was going to expla...

-Don't bother.

Just get on with your work and let me get on with mine.

Hi. My name's Tamzin, this is my colleague, Greg.

-What's her name?

-It's Zila.

-Zila.

-Zed.

-Zed.

All right, Zed. Are you having any problems breathing at all?

What actually happened?

-I'm not sure.

-It was an accident. There was this fire.

She fell backwards and there was this knife. It was an accident.

Can I have some dressing gauze and tape, please?

And can you get that and put it in a bag?

-She's going to be all right, isn't she?

-We'll do our best to make sure she is, yeah.

-I am going to need to have a look at your hands.

-Lisa. And Dad. You need to get checked out too.

I need to make sure Zed's all right, that's what I need to do.

-So your GP's Dr Masters. is that correct?

-Yes.

So he's been dealing with your antenatal care?

Not exactly.

Who has, then? No-one.

She was keeping the pregnancy a secret.

Is that right, Amelia?

The father didn't want to know.

She was ashamed.

Why would she be ashamed?

Amelia, tell the nurse why you were ashamed.

I...

She was planning a termination.

You don't want to keep the baby?

Didn't. She's changed her mind.

Was that when you found out? The decision is yours, Amelia.

It's your body.

The baby will be fine and you are making the right decision.

-You wouldn't have been able to live with yourself if you'd had an abortion.

-No.

And it will have the best start in life.

I'll see to that. I know exactly what to do.

I'm sure Amelia will work everything out for herself, won't you, Amelia?

You didn't tell me about Ash. About his resignation.

I wanted to get a replacement lined-up before I went public.

He'll be a loss.

-I think it's a mistake.

-Do you?

His daughter has been nothing but trouble since day one.

He's quit his job for her - what next?

Giving in to her has been the problem all along.

I think this will only make things worse. But what do I know?

I don't even have children.

Well, I guess the only thing is to let him try.

OK, Charlie. We've got a penetrating knife wound to the back.

Right, straight into Resus. It's all clear.

And this is Lisa. She's got burns on her hands.

Sue, could you triage this young lady, please?

OK. What've we got?

This is Zila Ponzini, 25.

Penetrating knife wound in a restaurant kitchen fire.

Barely conscious when we arrived. No significant improvement.

GCS 9, Sats 95%, pulse 130, BP 90 over 50.

She's had 100% oxygen, 250 of saline.

Knife wound in a kitchen fire. That's interesting.

Three, two, one. Yeah, some kind of accident.

This is Mr Ponzini, Zila's father.

Can you tell us what happened? Anything might help.

I'm not sure. Some brandy caught fire and there was confusion.

Not for long. And then, there she was, on the floor, bleeding.

Right, we need to get you seen to as well.

I'm not bothered about me. I need to stay here.

We've got the knife.

Can I see that before you take it to the police, please?

We're going to do an ultrasound, which they're trying to organise.

So hopefully we won't keep you waiting too long.

Thanks. I'm so glad you came to your senses.

Now that's out of the way, I can sort out everything else.

Sorry. I just remembered we need to check Amelia's personal details.

Would you take Mr Myles to reception, please, and make sure we have everything correct?

-I'm sure everything is fine.

-It won't take a minute

and I also need to do an examination on your daughter.

OK. I'll be back in a minute.

-Interesting man, your father.

-Yes.

I take it he didn't want you to have a termination.

He says it's murder. You're killing a child.

But you didn't think that, not this morning.

I'm not sure what I was thinking.

What are you thinking now?

If I decide to keep the baby, I don't know how I'd cope.

What about any brothers and sisters - couldn't they help?

-I don't have any.

-Then what about your mum?

She does what my dad says.

Does your dad always get his own way?

He goes out to work.

His wages put food on the table.

That doesn't mean he owns you or your mum.

You're going to have a baby.

You need to make your own decisions.

Decide what YOU want.

These are what we call partial thickness burns.

So what I am going to do is trim off some the blistering

and then see where we go from there.

Don't worry, it doesn't hurt.

So how did this happen?

Hah! I thought you doctors were meant to know everything.

I know this could have been a lot worse.

It was worse for my stupid sister.

Stabbed with her own knife.

That's not clever.

Oh, I don't know. I think it's very clever

if it keeps her the centre of attention.

-Ah! Stabbing trumps burns. That sort of thing?

-Exactly.

Reading between the lines,

I'm guessing there's a bit of sibling rivalry kicking around.

You have no idea what's kicking around. No idea.

You'd be surprised. Me and my brother.

Sometimes it's like Cain and Abel.

We've been fortunate so far there's been no knives hanging around.

She's arrested. I'll start CPR.

I'm not losing another patient.

Then let's do all we can to make sure that doesn't happen, then.

-Zed!

-Please get theatre ready now.

-What's happening?

-We're out of options.

-Bella!

Penetrating trauma. It's always an option.

Bella!

A thoracotomy?

There's always a risk.

Baby!

Better the surgeon, lower the risk.

-Zed!

-Ash?

Yeah.

Charlie. Could you sort out?

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

-What's for her?

-Your daughter's in a critical condition,

-but she's in very good hands.

-Zed!

-The doctors have to perform a...

-Zed!

So what happens now?

We're still waiting for the sonographer to do the ultrasound.

OK. Don't worry, I'll wait with you.

I bet you're looking forward to having a new baby in the house,

-aren't you?

-We'll see.

I suppose someone will need to speak with the father.

-What about?

-About being a father.

No need. The kid's a waste of space.

Still, he is the father.

-Take my word. He's not interested. I've already spoken to him.

-I didn't know you knew him.

-Who do you think told me where you were this morning?

-He promised he wouldn't say anything.

Well, I had a few words with him and he told me everything.

He knows your little game.

Her little game?

Why she slept with such a loser. He told me.

What did he say?

That you would love to see my face if I ever found out.

Do you see NOW why I have to look after you?

I think she can see why.

And how.

Scalpels, please.

-OK?

-OK.

-All right, deep breath.

We will start with the bilateral thoracotomies. OK?

Let's go.

Bring your incision to meet mine in the middle.

Scissors, please.

OK, bone cutters.

OK.

OK, spread this for me.

Retractor and swabs.

OK.

-OK.

-OK.

OK.

Retract the lung.

Scalpel and forceps, please.

How's it looking?

Don't know.

I need to get these clots first.

OK.

OK, there's no obvious myocardial injury.

There is a tear in the pericardial vein.

Got it. Clip please.

Can't see a thing. Suction.

OK, starting internal massage.

-Anything?

-Just give it a minute.

I've got something.

Right, Fletch. Give me some good news please.

Good news on the way. She has got a pulse.

OK, let's get her straight up to theatre, please.

I'm going to make it.

They thought they could get one up on me. Not a chance.

At last!

I thought I was going to have to wait here forever!

If you get your finger out, I'll have plenty of time

to pump some iron before parading my wares.

I am the man with the pecs of steel.

Might just be me, but I don't really get the point?

If I told you I was an ugly, ten-stone weakling that got bullied,

-then you'd understand, wouldn't you?

-No.

All good to go. Good job.

I recommend you buy some emollient cream, in case you develop a rash.

I don't do rashes.

I'll go and get you something to wear from lost property.

I am the man.

-Fancy a piece of this now?

-No.

-No?

No, no. I think I would rather wake up next to a worm.

OK. I get it.

-I've sort of known all along.

-Get what?

Short hair. Aggressive attitude.

You're a lesbian!

Just to give you hope...

I've turned a few of your gang in my time.

Whatever gets you through the day.

There. You can you see the baby now.

I didn't expect it to look like that.

I can see its arms and legs.

And you can hear the heartbeat, loud and clear.

-There's no problem, then?

-Not at all. If you need me...

So, if everything's fine... I can take her home?

Not today, I'm sorry. Because of the bang to the head,

we're going to have to keep her in overnight.

I think she'd be better at home...

And I'm sure she'd rather be at home,

but it's best to be on the safe side.

She has a broken clavicle and three broken ribs,

so she needs to rest.

It's perfect.

Can I know my baby's sex?

They'll hopefully be able to tell you when you have your 20-week scan.

You don't want to get too attached to it.

Don't I?

-No, not with so much still up in the air.

-Right...

Bringing up a baby isn't quite the bed of roses you might think it is.

No...

But I'll help you through it, make sure you make the right decisions.

Thanks, Dad.

I really think you need to let Amelia make her own decisions,

as far as the baby is concerned.

I'm just trying to avoid any further upset.

I'm not following what you're saying.

Let me try and make it clear.

-I'm too old to have a baby in my life.

-So?

-So, when the child's born, it will be adopted.

-What?

It makes sense, Amelia, you know it does?

A nurse will be with you soon, to dress your wounds, OK?

How long are they going to be like this?

A few days.

I'm afraid you won't be able to do a lot until they've healed.

More than Zed.

-Is that your sister?

-Yeah.

You know, since you've been here, you haven't even asked how she is.

Is she all right?

My colleagues had to perform an emergency procedure on her.

-They're taking her up to theatre now.

-Sounds bad.

Well, she survived.

Are you saying there was a chance she might not have?

Yeah. A VERY serious chance.

-It could still go either way.

-Did you see my dad?

-Yeah, I told him I was treating you.

-But he didn't ask...?

I told him, so he didn't have to ask.

Where is he now?

He's with your sister. She still won't wake up for a while.

He'd still rather stay with her than see how I am.

That about sums it up.

What happened?

The procedure went as well as we could have hoped.

Thank you. Thank you so much.

She'll be taken up to theatre then to ITU.

-I will get someone to show you.

-Thank you.

You all right?

This is crazy. This should never have happened.

I should have put a stop to it.

Put a stop to what?

Lisa, acting like a spoilt child.

Maybe you should speak to her. I am sure she's as upset as you are?

Yeah. I think I should.

Clear the air.

Do you know where she is?

-Yes, she's just this way. I'll show you.

-Thank you.

'Doors closing.'

Well, I'd like to say it's been a pleasure...

Likewise...

And if you ever fancy dipping your toe

into the other side of the pond... get in touch.

Here I come... The next South-West Area Champion! Yes!

LAUGHTER

I'm waiting for a nurse to dress my hands.

I will attend to that right now for you.

They look painful...

They are.

How's your face?

I'd forgotten.

After watching Zed fight for her life, this is nothing ...

-She OK?

-I hope so...

-Otherwise, you wouldn't be here, would you?

-What?

You'd be with her.

She's in theatre at the moment. She's still very poorly, I'm afraid.

As soon as your favourite daughter is OK, you have time for me.

Zed is seriously ill!

This hasn't been fun!

If it weren't for you, none of this would have happened!

And if you and Mum hadn't adopted some kid, you might have remembered your real daughter!

Zed has been more of a daughter than you ever have!

NOW you've said it.

Said what you've been wanting to say for years.

She's the top of the tree and I don't get a look in!

-You really think that?

-Yes!

Then, fine. If that's how you think, I accept your resignation.

Come and collect your things from the restaurant.

-I don't want to see you there ever again!

-You're not serious.

Yes, I am!

Because of your petty jealousy, Zed nearly died today!

That's NOT going to happen again! I promise you!

Now, it may be sore for a little while yet,

so we'll prescribe some painkillers.

Your ribs will just need time to heal.

-Will the painkillers harm my baby?

-No, the baby'll be fine.

We're going to get you up on the ward,

but hopefully, by tomorrow, you should be on your way home.

-And that's it?

-That's it.

OK.

I'll go and call your mother.

Is there anything you want me to say to her?

OK.

Dad...

I'm not coming home.

I'm not coming home if you want me to give up the baby.

-We'll talk about this later.

-No!

I want to talk about it now.

OK...

What do you want to say?

That this is my child and I am going to keep it.

How? How are you going to keep it? How are you going to pay for it?

I'll find a way.

Plenty of single mums do.

This is none of your business, and I would rather you kept quiet.

You don't like the idea of somebody sticking up for me,

being on my side.

That has nothing to do with it.

You know me and Mum are scared of you.

What are you saying? That I knock you around?

No.

It's just you just have a way of making me and Mum

do what you want.

That is ridiculous.

It's true!

All my life, I've watched you bully Mum...

and now I see that's what you're doing to me.

Well, no more!

I'm having this baby with or without your permission.

OK.

OK, if that's what you want to do.

Then I genuinely hope that you and your child have a wonderful life...

but don't you ever come asking me for anything,

because it won't be pleasant turning you away.

-I did it.

-You did.

And now I'll never see him again.

My own father.

The man was upset.

People say things they don't mean when they're upset.

He meant it.

I know my dad.

We were fine until they adopted Zed.

Everything suddenly changed when she came on the scene.

They felt sorry for her.

They never gave me a chance.

I think I was the favourite.

Well, certainly my mum's anyway.

It wasn't until after she died that I suddenly realised

that all she ever really wanted was for me and my brother to get along.

And do you?

I think we've let it go on a little too long now.

SIREN WAILS

Mr Myles, I know you think in some way I'm responsible

for what's happened with your daughter,

but this situation was going to surface one day.

I only want what's best for her. That's all I've ever wanted.

When she was 13, I had tickets for a concert for her mum and me.

Requiem Mass. Fantastic stuff.

Mum got ill, so I asked Amelia if she wanted to come with me.

She didn't want to she wanted to play with her friends,

some party...

but she did come with me.

You ask her today and she'll tell you

that was one of the best nights of her life.

But she's not 13.

And sometimes we have to let our kids make their own mistakes.

This would be a huge mistake.

This will affect the rest of her life.

And if you make her give up the baby,

it will most certainly affect the rest of your life.

I love my daughter.

I don't doubt that.

And she wants you in her life, but she also wants her baby.

I don't think it's right, them letting her back.

I can see what it's doing to you.

Well, to be honest with you, big man? I'm pleased she's back.

Really?

Yeah.

Ah, Tamzin.

Hi.

Hi.

How's your first day back?

Yeah, good. No-one's paralysed yet.

So where's Dixie?

Uh, yeah, she is, um...

She's taking a break.

Won the lottery, has she?

Well, she's not sharing it with me if she has.

Listen, Tamzin, do you fancy a drink after work?

Yeah, I'd love one.

Great.

I'm trying to remember, it's rum and coke, innit?

Not any more. I am a wine girl now.

Ah, can't handle the hangovers, eh?

It's not really me, it's my fiance. He loves the stuff.

Not the expensive stuff, but none of that cheap plonk either.

-Fiance?

-Yeah, got engaged.

Right, great, congratulations.

Thanks.

Well, I will see you later.

Yeah, I'll see you later.

-Tamzin.

-Yeah.

Listen, tonight, I just remembered, I can't do tonight.

I've got to be somewhere.

OK. Another time.

Yeah. Yeah, yeah. Another time.

SIREN WHOOPS

Amelia.

Is it OK if I go with her?

That's up to Amelia.

Are you going to try and make me change my mind?

No.

I just want to see if there's some way we can make this work.

I'm not giving up my baby.

I know. I get that.

OK.

Mr Ponzini.

Sh!

How is she doing?

They say as well as can be expected.

This has been a tough day for you...

and it's also been a tough day for Lisa.

I don't have a family.

No kids...that I know of.

But I do know siblings.

Sometimes a brother and sister can't live together...

..but can't live apart either.

Do you know what I mean?

Yeah, I know what you mean.

It wasn't like that for me and my brother. I sometimes wish it was.

But I think it's like that for Lisa and her sister here.

I always thought that Zila needed more of me..

-SOBBING:

-She was a sad little thing.

And there was Lisa so full of life, confident.

Yeah, I can understand that...

but today, Mr Ponzini, when you said

you didn't want Lisa to come back into the restaurant?

I said it because I was hurting.

Lisa's my daughter.

I love her.

Look, she's outside. Do you want me to bring her in?

Please.

OK.

I'm sorry, Dad.

-SOBBING:

-I'm really sorry.

I know.

We're going to be fine.

I couldn't bear to lose you or my sister.

We'll sort it out, I promise.

I hope you can hear me.

Oh, you better get better...

..because the truth is I'm a lousy cook.

HE CHUCKLES

I hear you did what I didn't do.

A thoracotomy?

Yes, well Connie, not me.

I was just assisting,

but it was totally different circumstances to your patient.

I know.

It was something else, though,

and it made me realise a few things.

It made me realise why I love this job

and that I'm good at what I do.

Do you see me arguing?

So I'd like to withdraw my resignation.

Already done. I never handed it in.

Anything else?

Yeah. Here in the ED, more than anywhere else,

you have to work as a team...

and you and I make a great team.

So where have we been going wrong?

I think we've allowed ourselves to be played.

I think you might have a point.

What we mustn't do is allow ourselves to be played again.

Agreed.

-Fancy a drink?

-Yeah, why not?

I've never seen Mrs Beauchamp in the pub.

I think we should be safe there.