To Yourself Be True Casualty

What is probably concerning people here is the fact

that we have had three sudden deaths in a very short space of time.

I've been suspended. Pending further investigation.

-Synchronicity.

-What is?

-The way we work together.

No chance!

-Hey!

-Tamzin!

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

-She's back?

-I think we've allowed ourselves to be played.

Oop, mind your backs. Emergency medicine coming through!

Dr Hanna, trial placebos in this week's Journal.

I think we could run with it. Can you have a look?

Er, yeah, very interesting, Lily. Yeah, I'll give it some thought.

Giving it some thought, are you?

Absolutely. It will get all of my attention.

You having a doughnut for breakfast?

Well, I was, yeah.

Umm...

-Seriously?

-Ah, you wouldn't say no.

-Already have, mate.

-What?

Only joking. Like she'd look at a nurse, anyway.

Ah, it's a good job I'm a doctor, then.

Right, a score says you can't.

-Sorry, what?

-£20.

All right. 40 says I can.

Does anybody want me?

That seems unlikely.

Mmm. Too easy. It's all too easy.

Miss Steele! They said you were too ill.

I know, I'm so sorry but we've been through so much to get here.

I didn't want to let you down.

Thank you.

-Miss Steele, are you all right?

-Anna? Anna?

Just give me a minute. We've got plenty of time.

You're defending her? Will, why would you do that?

Because you're ill. They needed someone to pick up.

I knew someone would be here but why didn't you tell me?

-You have to go.

-I can't do that.

It's my case, Will. Don't touch me. Don't you dare touch me!

-Anna, please.

-You don't come near me. You just stay away!

Anna, stop! Please!

Wait!

Anna!

Anna!

Anna!

Call an ambulance! Anna?

Anna, are you OK?

-Any luck?

-No. ICU are short.

-So are we!

-What's this?

We're still three members of staff down. Same as every shift.

Charlie, I haven't forgotten about your report.

But you're up to your eyes today, so shall we reschedule for tomorrow morning?

No, I'll make time. It just keeps slipping, doesn't it?

-How's about the end of shift?

-Oh, OK.

-You haven't read it, have you?

-No.

I was working past midnight, Tess, you know.

-I just couldn't get round to it.

-Why don't you read it now?

I would but I've left it at home.

Charlie! Have you got a spare?

-I don't want you two cooking up systems I don't approve of.

-Sure.

Hey, don't. Anna, please. You're making it bleed.

It's OK, Anna, I'm here.

No...no.

OK, look. I'll back off, yeah?

But Anna, you're hurt. You need to stay still.

You can't tell me what to do. Don't tell me what to do!

-I'm Jeff. What's happened?

-She stepped out in front of a cyclist. She wasn't looking.

-Was she knocked unconscious at all?

-I don't think so.

-Right, do you know her name?

-Anna.

-It's Anna, Anna Steele.

-Anna, my name's Tamzin, I'm a paramedic.

-No!

Anna, you've had a nasty accident. I'm going to get you some help.

Whoa, whoa, whoa. Let's just calm down a bit, OK?

Anna, we're trying to help you.

Get out of my way. Move!

-Anna, no!

-Move!

-Ow!

-Or else what?

-Tamzin.

-She trod on my foot!

Now, you're a big girl, aren't you? Look at her.

Anna, listen. There's two ways we can deal with this.

Come in with us to hospital,

we get you patched up and you'll be back out this afternoon.

The other way is they're going to have to get involved.

-It's up to you.

-I've done nothing.

-But you have caused an accident,

haven't you? We can't risk you doing that again.

OK. Good. Come on.

That looks really sore.

All right, we'll get that sorted out. I promise you.

Come on. All right then, come on.

Ben! Over here!

What are you doing here?

I knew you'd be running. What? You're not happy to see me?

Shut up.

Is that your breakfast?

Body beautiful just comes naturally to me.

We don't all have to work at it.

Get lost.

Wait!

That is SO not a good look.

Ben? BEN!

-It's a waste of time.

-Renal imaging and function are normal.

-Would you like a second opinion?

-No.

-Yes.

Male, 52, chronic urinary retention.

Clear CT, already catheterised, I want to check blood glucose.

But you have no indicators of diabetes.

-Well, it only takes a minute, though. She's only being thorough.

-Thank you. Shall we?

HE WHISTLES: "We're In The Money"

-Knight? Busy, are we?

-Always, boss.

Excuse me, my father was told he could go home an hour ago.

-Mr Kalpar?

-Oh, OK, I'll find out for you.

Erm, Mr Kalpar?

He's with Dr Hunt.

Thank you. Ethan, Mr Kalpar?

That's his daughter. She wants to know why he's not been discharged.

Yes. Er... Still waiting on Pharmacy.

-We need the bed.

-But I can't make the pills.

No, but you could hassle Pharmacy to.

-And if he's ready to go, he can wait in reception.

-OK.

Hi again. Sorry about the delay. I'm going to find out what's happening.

Ah, Cal. This is Anna Steele, 25 years old, ran into the path of a cyclist.

Wasn't KO'd, GCS is 15 throughout, all her obs are normal,

few cuts and bruises and a query fractured left hand.

And she really doesn't want to be here. OK?

OK. Hi, Anna. I'm Dr Knight.

-That all?

-Yeah.

-OK.

All right. Cheers, Jeff.

Ooof! Glad to see the back of her.

Yeah, you made that perfectly obvious.

-Right.

-That for me?

You forget how well I know you.

-And love me?

-Goes without saying.

"A new strategy to improve patient flow."

So, how much pain are you in? Anna, can you hear me?

Let's get you up.

-Don't touch me. DON'T TOUCH ME!

-OK.

The thing is with a hand injury, you're going to need to get it X-rayed.

Can't have you going home like that now, can we?

Nice and slowly.

OK.

I'll see what I can find out, OK?

Oh, she's been in recently. Was sent home.

Lily saw her. I should get her opinion.

Robyn, would you try and find Lily for me, please?

Yeah, sure.

Excuse me, are you a doctor?

Yes, but I'm not yours.

Lily. You're wanted in cubicles.

They'll have to wait.

Well, Mrs Beauchamp asked me to fetch you?

Excuse me? Has my son been brought in?

-What's his name, mate?

-Ben. Ben Mason.

I'll just check. I'm afraid he's not on the system yet.

-The school said the ambulance was on its way.

-Are you sure they were bringing him here?

-Yeah.

-They said he was unconscious.

-Don't panic, they'll probably be in transit.

-Right.

I'll take you through. OK.

He collapsed during cross-country. Blacked out or something.

OK. Ah, Tess, this gentleman believes his son's coming in.

-Ben Mason?

-Right, yeah, I've got him in the back of my ambulance.

-We're trying to find somewhere for him.

-My boy's been left in the car park?

-I've got a cubicle for you.

Oh, there we are, then. All right, if you want to come with me? I'll take you to him.

Mrs Beauchamp, you wanted to see me?

Yes. Cal's treating a patient you saw two weeks ago.

Anna Steele?

Just badly bruised, so you won't need a plaster.

And how's the pain? Anna, can you hear me?

There's nothing wrong with my ears.

Glad to hear it. I was just asking about your pain.

How about your head?

Still got the headaches you came in with last time?

-May I?

-Sure.

Anna, I'm Doctor Chao.

You saw me the last time you were here.

She had a CT to exclude anything intra-cerebral.

Bloods were all NAD.

There's nothing in there about her mental state. Was she manic or paranoid?

A bit abrasive, perhaps but I put that down to the headache.

-That's not fair.

-What's not?

What she said. She called me a time-waster.

-She really didn't. I'm right here. I would have heard it.

-I am not a time-waster!

It's OK, Anna. Dr Chao's just leaving.

-Have you called Psych for an assessment?

-What did she say?

WHAT DID SHE SAY?

No! NO!

Anna, we're just trying to help!

-No! No! Argh!

-Calm down.

-Calm down!

-Anna? What are they doing to her?

-Sorry, I think we should wait outside.

-Can you get me 10 of diazepam PO.

-Not her. Get her away from me!

Just breathe. Breathe, breathe, breathe, breathe.

Just breathe. Breathe, breathe, breathe. OK.

-No! No! No!

-Anna, Anna - take the tablet and Dr Chao will leave.

That's what you want, isn't it? Dr Chao to go?

That's it.

That's it. Take the tablet.

Why's she like this?

I really think we should wait outside.

Her doctor will come and talk to you, all right?

Just give that a minute, yeah?

BP's 95/60 and BM is 5.6.

-OK. Any dizziness, Ben, headaches?

-No, he said he didn't have one.

-Sorry, I need to hear it from Ben.

-OK.

-I'm fine. I just felt weird.

He was out running. Did he say that? He was out running.

Mr Mason, please. When was the last time you ate?

He's on a special diet. He's an athlete, you know.

-He's been training.

-Thank you. Right.

I think we need a head CT

and I don't think a sandwich would go amiss.

Er, which one would you like? Today we've got tuna or cheese.

No, thank you.

So, son, you were definitely running, yeah?

-I don't really remember, Dad.

-Did you feel like a cramping? A seizure, kind of thing?

-Man, the doctor is supposed to be asking these questions.

-I just felt odd.

-Next minute, I was on the floor.

-The floor? So you stopped running?

-Do you remember that?

-I just don't remember.

-You've got to remember.

-You can't waste these people's time. Plus we don't pay but scans cost money.

-Dad!

Look, Mr Mason, just...

Listen, you need to keep yourself calm. OK? For your son's sake.

Yes, sorry. Sorry. You're right.

She's a lot calmer now.

Yeah, because she's drugged out of her mind!

Thanks, Charlie.

Sorry, it's just seeing her like that.

Will Jessop. Packs quite a punch, doesn't she?

Oh! Cal Knight. So, have you, erm...

seen her like that before?

It started a couple of weeks ago, but this is off the scale.

Did anything trigger it?

She was working too hard.

Started getting headaches, snapping at me, irrational.

Sorry, are you guys together?

Moved in a few months ago. It's like she's got this switch.

One minute she's Anna - you know, sweet.

Next she's ranting and paranoid.

But there is something you should probably know.

Her mother had mental health problems.

She was sectioned when Anna was 15.

Do you know any details?

-Her mum's dead. She killed herself.

-Ah... Right.

TEXT MESSAGE

I've got to go. Court's starting again in half an hour.

Look, give me your number and once I know more, I'll give you a call.

-We'll look after her. I promise.

-I'd appreciate it.

Your dad seems nice.

Yeah, he's all right.

Bit controlling?

Yeah, you noticed?

-Hey!

-Hey.

-How's it going, mate?

-Yeah, I'm fine.

-Come, come, how did it go?

Yeah. Um, didn't hurt much. I had 20 stitches.

-20 what? Why wasn't I called, I should've been there! 20 stitches?

-He's winding you up.

Don't do that.

-I just had to lie there. It was really quick.

-Yeah.

-Right. Lie back and I'll go and let the doctor know you're here.

-Thank you very much.

Oh, I've been waiting for ages.

-Got a lot on, have you, my lovely?

-Ah, you know, just been sorting myself out. Oh!

OK, easy.

So who have we here?

Oh! Hiya, love.

-Have you two not met?

-No.

-Oh, he's in for a treat, isn't he, Molly?

-Is he any good?

-He'll do.

Oooh! I need something for the pain.

First things first. How did this happen?

Yeah, I...I just slipped.

On the pavement!

And did you hit your head or... does anything else hurt?

Oh, he asks a lot of questions, this one, don't he?

-Have you been drinking, Molly?

-Hey! I've been dry for a week.

-It's true!

-Nobody's saying it isn't.

Right, Ben. Good news.

-Scan's all clear.

-That's a relief.

-Do you want to take a look?

-Yeah, let's have a look at that.

-Dad! Can I see as well?

So everything is normal.

Does that mean he just fainted, then, yeah?

-Erm, well, I'm still assessing, Mr Mason.

-OK.

Could you fold your thumb in and make a fist?

-Do you feel cold often?

-Yeah, he's always turning up the central heating at home. Aren't you?

-Sometimes, yeah.

-I just need to listen to your chest.

-Can you pull the gown down?

-Do you want some help?

-It's all right.

-How tall are you?

Oh, he was six foot when he was 13. He's about six four now?

-Yeah, about that.

-OK. Are there many tall people in your family?

Yeah, his mum was nearly six foot and his uncle six foot four.

-But he gets his good looks from me.

-Thank you.

-Well, the head injury isn't an issue for me,

but I would like to run some tests.

Why?

Well, I suspect Ben has a condition called Marfan's syndrome.

Sounds like she's calling you a Martian, son.

It's a connective tissue disorder. It's usually hereditary

and Ben shows all the physical characteristics.

Why, cos he's tall? There's lots of tall people out there.

No, no, um, sorry, can I pull your gown down again?

-Yeah.

-Look at the dip in his chest, yeah?

And can you make the fist again for me?

See how his thumb sticks out? If you and I do it, it doesn't.

-That's indicative of Marfan's.

-OK.

OK. I'll be back, I just need a piece of equipment.

-OK.

-Thank you.

-Are you sure he hasn't just got long fingers?

I mean, he's got long toes. check his toes.

Hello, Anna. How are you feeling?

Look, Anna. You're clearly a highly intelligent woman,

so I don't want to patronise you.

The way you've been behaving is cause for concern.

You know that, don't you?

Will mentioned your mother was sectioned.

Whatever this is, it's highly unlikely that it's hereditary.

-But you still think I'm mentally ill.

-I don't know that yet.

-I still haven't ruled out a physical trigger.

-Such as?

You can't go cross-examining me

before I've gathered all the evidence.

But I do want to run some more tests.

Take some blood. If that's OK?

They didn't show anything last time.

Well, they might have missed something. Something might have changed.

You're just going to have to try and trust me, OK?

Right, just try and relax.

You're going to feel a sharp scratch.

Excellent. Well done.

Right, I'll get these off to the lab.

Can you sort a urine sample and let's do another head CT?

-What are you looking for?

-Not sure, to be honest,

but if she goes off to Psych she'll never get out.

Might tip her over the edge.

-Ah...

-Do you know what?

-Go to a cashpoint now, get it over and done with.

-Never say never.

-Is Psych on their way?

-Ah, haven't called them.

-Isn't it cruel to make her wait?

-Lily, it's my call.

Is he always so pig-headed?

He'd rather cut off his own arm than admit that he's wrong.

At least then he'd be 'armless!

It's...a joke.

Hi, yes. This is Dr Chao in the ED.

Is anyone available for a Psych assessment?

Oh, yes, you have.

The name is Anna Steele.

Thank you.

I've requested a portable echo. So it should be on its way from Cardiology.

Can't we send him to Imaging?

I'd rather do it myself, thank you. Right, Ben, um...

I'm a little concerned about your weight.

-Have you always been this thin?

-You wouldn't believe this, right, but when he was younger,

-he was a right little porker.

-Dad.

Sorry, son, but you got to admit, huh?

18 stone just over a year ago. Now look at him.

Mr Mason, at Ben's height he should be over 12 stone. He's 10.

But you got to admire the boy. I mean, it was me that got you into that running.

-It was that or basketball.

-Basketball...

-Yeah. Just a natural, like his dad.

All right, Ben, the reason you're feeling cold

is because you are not getting enough food.

-He runs 10k a day! He's hardly at death's door.

-He's in A&E.

Because he fainted, not because he was hungry!

First you say he's tall, now you say he's thin.

I could have told you that.

-Sorry, shall we?

-What?

-All right, I'm going to put this as plainly as I can.

-Yeah.

It is incredibly dangerous to lose that much weight so quickly.

Right. Next thing you'll be telling me that he's anorexic.

-Oh, do me a favour.

-Huh?

-Listen.

You are not labelling my boy with some girlie eating disorder, right?

-He needs help.

-Give him a break. He's got enough problems as it is.

You mean physical problems?

No, he's, er... Thinks he's gay.

Mr Mason, being gay is not a mental condition.

-Listen, the last thing he needs is people like you pandering to him, all right?

-What?

-Get dressed. We're going.

-What? No.

-Come, come, come.

-Look.

I need to properly assess him, to look at his Marfan's syndrome.

His Martian - yeah, of course, he's an alien as well.

Yeah. Nice one. Come on, get your shoes.

Mr Mason, I strongly advise you, don't do this.

He has a very serious condition I need to look at.

Ssssss!

What do you do?

It's important to stay hydrated, OK? Here you go.

Don't worry, it's only water.

OK?

Um, Cal? She's er, struggling with co-ordination.

-Can I borrow your pen?

-Eh? Yeah. I want it back.

Anna, this might sound a little bit odd,

but I just want you to draw something for me.

Just a...er...clock face.

Just put the numbers 1 to 12 around.

OK, just try your best.

OK?

Is it OK?

Well, it's, er...it's interesting.

Did you feel like you could do that?

-What are you thinking?

-Well, I need the rest of the results back,

but it might be worth chatting to Neurology.

Do you mind if I wait here?

-You all right?

-Yeah, I just can't walk very far.

-All right, I'll go and get the van, yeah?

-Cool.

-You good?

Yeah.

Dad will freak if he sees you.

I needed to know you were OK.

Did you bunk off?

-I was terrified.

-Sorry. They reckon I just fainted.

You lightweight. So what did you tell them happened?

The truth. That I was on a run.

He'll be back soon. You should go.

I'm not leaving you like this.

You haven't seen me.

What, naked, or in general?

Shut up. I'm sorry.

I just have to get through this, I've got a meeting later.

-Someone important?

-Charlie.

-Cancel it.

-I already tried.

-I thought you were in charge.

Whatever gave you that impression?

-You all right?

-Yeah, thanks.

Sure?

Can't you lot speed it up? It's madness out here.

Well, it's not a picnic back there, babe. Certainly no biscuits.

Mr Harris?

-She's got a sharp tongue, that one.

-Next time, just give her a biscuit.

Nah, she can buy her own.

-Right. Who wants me?

-Ah, me. We're still waiting for Dad's drugs.

I'm so sorry.

My mum's got Parkinson's disease. She can't even get to the bathroom without one of us helping.

Well, maybe your father could stay here.

What's he supposed to do? Hop home?!

Could a neighbour help with your mother?

-You'll have to go home.

-I can't leave you here.

Well, I can arrange the transport for your father.

Oh, this is mad. I mean, I've spent pounds on parking and I've got the car outside.

I understand. I'll keep chasing Pharmacy.

-What are you doing here!?

-I...

Just get away! Son? What happened?

It's the same as before.

Before? You was with him? He said he was doing cross-country.

Can I get some help here, please?

It was a woman doctor. I think she was in charge. Snooty type.

Ah, Mrs Beauchamp?

Just go away, right? We don't want you here. Go!

-What happened?

-He's got a very irregular pulse - feels like AF

-and probably a rapid ventricular response.

-Right. I'm pretty sure he's Marfanoid.

Suspect a complication from mitral valve prolapse.

I need a line in, IV amiodarone, and oxygen, please.

Tess, is the echo still in the department?

-I'll fetch it.

-Thank you.

-Shall we repeat the ECG?

-Yes, please, Charlie, we'll need BM and some blood gases again.

-What's happening, please?

All right. Try not to worry, Mr Mason. Charlie, could you?

-Yeah. Let's wait outside, shall we?

-No, I should be here with my son.

Don't worry, we'll fetch you back in as soon as we can.

-Just let these folks do their jobs for me.

-OK.

You're doing really well, Ben. Just breathe for me.

Has he had a heart attack?

No, he's got an abnormal rhythm in his heart. His heart's beating too fast is what is happening.

-The doctor, she tried to warn me.

-Don't worry, he's in very good hands. We know how to sort this.

-All right?

-OK.

-What's happening?

-Why are you still here? I told you to go!

I'm sorry, who are you?

I'm Liam, I'm his, erm... Ben's boyfriend.

It might be best if you wait somewhere else for the moment.

-Kodjo? Take this gentleman to the relatives' room.

-Hold on - the relatives' room?

No, you hold on. Liam is obviously upset. He obviously cares for your son.

I don't care about Liam! He's not a relative!

He shouldn't be here!

I need you go to the Pharmacy and get some drugs urgently for Mr Kalpar.

Yeah, I've got to take someone for a Psych assessment. Can I do it after?

Who's going to Psych? Your patient, Lily?

No, it's Cal's. Just keeping across it for him.

Oh, very good. Thank you.

Max, that's her. And Robyn, can you go with them, please?

-Anna Steele?

-Certainly is.

We're taking her to Hancock Ward.

Right. Cal know about that?

It's fine. It's good that Psych could take her.

Still in AF but the rate's down to 120.

-Is that good?

-Really good.

Cal? Any thoughts?

-Mild atrial enlargement.

-Yeah.

Left ventricle is volume overloaded.

Prolapse of both mitral valve leaflets causing severe mitral reflux.

Very good. All right, Ben, that means that one of the valves in your heart isn't closing properly.

-Is that serious?

-Well, mitral valve problems are common in people with

-Marfan's syndrome.

-Want me to call Cardiology?

-Yeah, be great. Thank you.

-Anna Steele. They've moved her to Hancock for assessment.

-Why?

Lily made out that you knew.

Oh, Lily!

Um...this...

All of this, is it my fault?

The heart problem's to do with Marfan's syndrome.

He was probably born with it.

-So it's not my fault?

-Rapid weight loss wouldn't have helped.

Starving himself would have put a huge strain on his body.

He can't be anorexic.

Anorexia's about control.

All right? The running, the need to be thin. It all fits.

This gay thing. Has that caused it?

Being gay won't have caused him to be anorexic.

But worrying about it and being unhappy about it just might have.

Anna Steele. You had no right to move my patient.

-I had her trust, Lily.

-Dr Knight...

No, did anyone explain to her what was going on?

Huh! Unbelievable.

Right. Anna Steele.

Did you check this before you sent her to Psych?

It's only an assessment.

-Her CT scan shows that her lymph nodes are enlarged.

-That doesn't necessarily mean anything.

But it might! Consult with the attending doctor next time, come on!

This place doesn't function unless we all work together!

Have a look at this.

Do you know where the relatives' room is?

Yeah, it's just through there.

Mr Mason. Mr Mason! Can I remind you that this is a hospital?

Look, I just want a friendly chat, all right?

-That trouble?

-I hope not. Keep an eye on them.

-Will do.

-Where am I being taken?

-Ah, they just want you to speak to another doctor.

I liked the doctor I had. Where is he?

-We're nearly there. They'll explain.

-Where are you taking me to? I mean, exactly?

-It's just down here.

-Whoa, whoa, whoa, it's OK. Sit down.

I want to know where I'm going? Which ward?

OK. It's called Hancock.

But it really is just to speak to someone.

-No! You need to give me those back.

-They're my notes. I have to a right to see them.

Look, why don't you see where we're going and then you can take a look at them.

Hancock's a psychiatric unit?

-OK, why don't we just...

-Right, listen, Anna.

Nobody's going to hurt you

and nobody is going to make you do anything you don't want to do, OK?

-Anna?

-Back off!

Anna! Anna! You need to stay with us!

-Max, are you OK?

-I'm fine, just give me a minute.

Nine stitches is nothing. I got 50 in my arm.

It's not a competition, Molly.

Right, that's everything done.

Look. Eh? See - sliced me arm.

Blood on the walls of the ambulance and everything.

Well, it looks all right now.

You should see the one on me arse.

Er...er...yes...ah... No.

What have I told you about torturing the doctors, Molly?

Ah, Dr Hanna.

Eh, she's a good girl is this one.

-So, how are you?

-I'm all right. I been on that...

that programme you lot keep going on about.

-Yeah, I heard.

-Not that he's interested or anything.

-Oh! I've got you!

-And when's the last time you had a drink, Molly?

Oh, Thursday morning, ten o'clock.

That's last Thursday, not the one tomorrow.

OK, stay here.

Ethan?

You're not finished with Molly, she's very unsteady.

-Drink does tend to do that.

-She says she's been dry for the past week.

-Well, she is an alcoholic.

-Did you take bloods?

-For a cut on her leg?

-Best do a CT scan as well.

I thought we were trying to clear space.

Well, not if they're ill. That is kind of the point, yeah?

What happened to you?

That Psych transfer.

She freaked and we couldn't stop her.

So where is she now?

I don't know.

Oh, come on, guys!

It wasn't our fault!

He doesn't mean it.

-Is there anything I can do?

-Yes. Could you ask Security to do a sweep, please?

-We need to find her. Hang on. I need to look at that eye.

-I'll live.

-Back here, you.

-I thought you wanted me to go to Pharmacy.

-I do.

-Robyn?

-What?

I think that's Anna Steele's partner.

Could you take him to the relatives' room and buy us some time?

Yeah, sure.

-Do you think I'll go blind?

-Not with that, no.

I'm Robyn, do you want to follow me through here?

Only five minutes now, all right?

We don't want him tired out. We're about to move him to a ward.

Er, Mr Mason? Thanks.

This one is not going away, is it?

Doesn't look like it. If you don't mind me saying,

I think you're doing the right thing.

Thanks.

Your dad let me.

Dr Hanna. Er...

Molly Droper's CT scan looks OK, we're just waiting on bloods.

So talk me through what you've got.

Lethargy, shortness of breath, diarrhoea.

She's B12 deficient, isn't she?

-I'd bet my pension on it.

-I'm so sorry, I should have spotted that.

Don't worry, it's an easy one to miss. Come on, let's tell her.

Oh, Molly, what are you doing?

I pay my taxes.

No, you don't. Put them back.

Oh!

Dr Hardy's got some news for you.

Oh! You can't keep me here!

No, no, no. We don't want to keep you here, come on.

-You're not having my foot.

-Molly, I promise you, your foot is staying very firmly on the end of your leg.

-Yeah, that's what they said to me mate.

-Which mate's this?

It doesn't matter. He's dead.

Have you any numbness in your foot, tingling?

Yeah, that... that's what happened to him.

You need something called Hydroxocobalamin.

No, thank you.

What Doctor Hardy's trying to say is that the reason you're

feeling like this is because you're severely anaemic.

But we can fix it with a course of injections.

Oh, ah... Well, I don't like injections, Dr Hanna.

But if you go to the addiction clinic,

you get free tea and biscuits.

And I think they've got a shower as well.

So...

-Any sign?

-Not yet.

Well...nothing in her bloods.

Right, well, still might call Neurology.

-Cos of the co-ordination?

-Yeah.

Not much point if she's not here.

At last! Mr Kalpar's TTA's.

Great! Now, I promised his daughter that we'd arrange transport for him.

-I'll take them.

-Thank you.

-I'll sort out the transport.

What? You'll scare the patients.

-With a bit of luck. Is that Mr Kalpar?

-Aha.

-It's medicinal.

-Hey, give that back.

-You don't mean that. Mr Kalpar!

OK, so we've finally got your drugs.

Unfortunately the transport is going to be a while.

I've been here since 6am.

-Bet you could use a cuppa, then?

-I just want to get home.

I'll tell you what. Why don't I wheel you to the cafe?

-As soon as they're ready, I'll fetch you.

-I'd like that, thank you.

-Biscuit?

-Thank you.

PHONE RINGS

Problem? I would say so.

She must have been trying to get to the toilet.

You found her?

I kept saying she shouldn't be left.

Are you OK?

I don't know how long she was lying there like that.

Her chest is clear.

Can I get full bloods and five more milligrams of morphine, please?

-What happened?

-She was trying to get to the bathroom.

I found her lying in her own mess.

Is your father still here?

I'm confident that your mother has a fractured neck of femur.

She's broken her hip.

Yes. Her pain is obviously a priority and then we'll X-ray.

-Thank you.

-Let's get her top of the list.

Is there anyone we can call for you?

I want my dad. He should be here.

I know you miss Dixie, but it was no reason to take it out on me.

-It's got nothing to do with Dixie.

-Please!

-OK, all right! Dixie and I, we had a shorthand.

-We understood each other.

-So I'm supposed to apologise for not being your wife?

That doesn't look good.

-That's her from this morning.

-Get some help.

Hey!

Anna!

Stay where you are!

Can you hear me?

Don't move.

-Oh, what a mess. Have you found the father?

-Transport reckons they haven't picked him up yet.

-He's not out front.

-Hang on, we can't have lost him!

Cal? Spotted one of your patients on the roof.

-Anna Steele?

-Jeff's out there now.

-Cal, don't take any risks.

-I'll send back-up.

-What about Mr Kalpar?

-He's in the cafe.

-What's he doing there?

-Drinking tea. Do you want me to go and fetch him?

No, I'd better go and explain his wife's been brought in.

-Excuse me.

-Erm...

-OK, Zoe!

Thank you.

Sorry, just give me a minute.

-Jeff, has she said anything?

-Nah. She's just stood stone still.

-I don't think she knows where she is.

-Right, I'll go up.

-No, hang on, hang on, hang on.

Do you have any idea why she might be up there?

-She found out she was having a Psych assessment.

-Does she think you had anything to do with that?

I had her trust, I can get it back.

Or she could just jump.

Yeah. Maybe we should just wait for someone she doesn't know.

-Anna, please stand still.

-Take that, take that!

Anna, no! Anna!

Anna? Listen to me.

Can you move away from the edge?

Don't jump, Anna. Oh, please don't jump.

I was still running tests, remember?

I think I can help you.

Anna, look at me.

Honestly, I really think I can help you.

Anna, please. Just...

Please, trust me, OK?

Aaaah!

Got her!

Pull! Pull!

Pull up!

Keep hold of her, Jeff!

I've got her.

-You all right?

-Yes. I think I've dislocated her shoulder.

Don't worry about that, mate! You just saved her life.

How bad is it?

Erm, it's a fractured neck of femur so she will need surgery

-and they're saying they're going to make a complaint.

-Well, I'm hardly surprised.

-Anna Steele's on her way back in.

-Is she all right?

-Near miss, apparently.

-Ah.

Just had a call from upstairs. You're late for a Clinical Pathway meet, apparently.

-Ah, yes. You going to be OK here?

-Yeah.

Not our finest hour, eh?

Budge up! Budge up!

-What happened?

-Tried to throw herself off the roof. She's dislocated her shoulder. She's in a lot of pain.

-So get a line in, get her five milligrams of morphine.

-Yeah, on it!

-Argh!

-Listen to me, listen to me. Take a minute, all right?

Get your bearings. OK?

-I'm good.

-I'll tell the partner.

That she nearly killed herself?

Cal, you saved her life. Look at it that way.

-Dr Knight, she needs a CT.

-No, no, she's had two already.

Not head, abdo. You need to look further.

-Tamz? Tamz!

-Yeah?

-Er, sorry. You know, that before?

Truce? Buy you a coffee?

-It's going to take more than a coffee, Jeff.

-White chocolate?

-Deal.

-Thought so.

Er, excuse me? Could you pass on my apologies?

I've just been bleeped. It's Dr Hanna.

-Yes, of course.

-Thank you.

PAGER BEEPS

Anna, this will all be over soon.

Argh!

All done.

If we get her in a broad arm sling and get a check X-ray.

Cal?

I've told him everything.

-You promised you'd look after her.

-I know. I'm sorry.

Zoe should be here.

I've bleeped her.

Dr Knight.

Anna's CT is back. We were right.

There's what looks like a teratoma on her left ovary.

Yeah. Strong possibility of NMDA autoimmune encephalitis.

Was it your idea to check?

Only because Dr Knight was so persistent.

OK, I think you should explain to your brother.

The right side of the brain is in crisis. That's why the numbers are all scrunched up.

That and the teratoma make it all stack up.

Shall I call Neurology?

-Yeah.

-Good call, Cal. Impressed.

-Why are you letting him take all the credit? This was down to you.

-No, it's not.

You told him to run the scan.

If it had been left to me, she would have been sectioned.

I missed it completely.

Well, the neurologist will want to run some diagnostics

but until they do those, we can't be 100%.

So this isn't a mental problem?

No. It doesn't look like it.

Hello, Mr Jessop. I'm Dr Hanna, the Clinical Lead here.

I know this is inadequate but, um...

..I can't apologise enough for what happened.

-You're admitting negligence.

-If you'd like to discuss this in private, we can go to my office.

No, I asked you a question.

Look...

Anna was in my care. So I let her down.

Like I say, if you would like to take this further,

I can meet you in my office.

Thanks for being honest.

I'm nearly through your report and there's a lot of really good points we should pick up on.

You haven't read it all the way through?

-I've only got the end summary to go and I thought maybe you could talk me through it.

-No, sorry.

-Charlie, I have been non-stop all day.

-I know.

So what's your problem?

-You're a great doctor, Zoe. You're one of the best...

-Just get to the "but".

But you're not any old doctor. You're Clinical Lead.

And I'm trying my best.

This department is in chaos.

Hang on! Anna Steele was just an unfortunate case

and Cal did everything he could.

-What about the Kalpars?

-That was a Pharmacy delay.

It's been going on for weeks!

You need to fight that battle, Zoe.

I'm taking my team out for a drink tonight, just to give them some sort of a thumbs up.

Without them, this department crumbles.

I do know that.

You have to get this sorted! They're on their knees. So am I.

Long day.

Mmm.

Thanks.

It was a good call suggesting the CT.

You would have got there.

Maybe.

No, you would. You're a good doctor.

I thought I was a prat.

Don't beat yourself up.

Connie was us once upon a time.

So was Zoe.

I don't know.

I just never...

connect.

But you can.

Helps if the patient's good-looking.

That was a joke.

If I'm a good doctor, then you definitely are.

You are.

You just have to... lighten up a little bit.

They don't teach you that at medical school.

Then how about we go for a drink?

I'll buy, you can start some lessons.

-You should smile more often.

-That's a really lame line.

Are you sneaking off without me?

You think I'd dare do that? Fletch? You coming for a drink?

-Ah, sorry, Charlie, I'm potless, mate.

-I'm buying. No excuses.

Thanks, guys, thanks for all your hard work. Have a good drink.

Are you not coming?

Ah, no. Not tonight.

What's all that about?

Just me going overdrawn again.

Good to see the team so strong.

Morale's important.

Absolutely.

-Night.

-Night.

Molly! Molly!

What are you doing?

Oh, come here. Let's get you up.

Oh, Molly! Oh!

Thanks, Molly. Thanks a bunch.