0:00:02 > 0:00:05- It is my department.- She'd be great back-up.- Back-up?- Absolutely.
0:00:05 > 0:00:07- Seriously? - You wouldn't say no.
0:00:07 > 0:00:10- Well, a score says you can't. - 40 says I can.
0:00:10 > 0:00:11You left your colleagues in the lurch.
0:00:11 > 0:00:13You made some really irresponsible decisions.
0:00:13 > 0:00:16- But Minor Injuries Unit? - Consider yourself lucky.
0:00:22 > 0:00:24This department is in chaos!
0:00:24 > 0:00:28You have to get this sorted. They're on their knees. So am I.
0:01:03 > 0:01:06As I'm sure you all know, it's a very special day for one of us.
0:01:06 > 0:01:10Good man, Fred. It's Fred's birthday.
0:01:10 > 0:01:11100 years old.
0:01:13 > 0:01:16Now, Fred has been with us at Forest Glade for, what,
0:01:16 > 0:01:17nearly a decade now,
0:01:17 > 0:01:21and I'm sure you'll agree, he is living proof of the care
0:01:21 > 0:01:24and devotion provided by our staff and facilities.
0:01:25 > 0:01:27Happy Birthday, Fred!
0:01:27 > 0:01:29# For he's a jolly good fellow
0:01:29 > 0:01:31# For he's a jolly good fellow
0:01:31 > 0:01:34# For he's a jolly good fellow
0:01:34 > 0:01:36# And so say all of us
0:01:37 > 0:01:40# And so say all of us And so say all of us
0:01:40 > 0:01:43# For he's a jolly good fellow
0:01:43 > 0:01:45# For he's a jolly good fellow
0:01:45 > 0:01:47# For he's a jolly good fellow
0:01:49 > 0:01:51# And so say all of us. #
0:01:51 > 0:01:53Fire! Fire!
0:01:53 > 0:01:56- FIRE ALARM BLARES - Get everyone out!
0:01:56 > 0:01:58Quick! Get everyone out!
0:01:58 > 0:02:01COMMOTION
0:02:04 > 0:02:07ALARM CONTINUES AND GLASS SMASHES
0:02:17 > 0:02:19I need to extend my credit.
0:02:19 > 0:02:21I don't get paid for another three weeks
0:02:21 > 0:02:24so I can't give you what I haven't got, can I?
0:02:24 > 0:02:26Yeah? Well. OK, ask him and see what he says, all right?
0:02:26 > 0:02:28Get back to me.
0:02:28 > 0:02:31We're only halfway through this shift and I'm wishing it was over.
0:02:31 > 0:02:35- Tell me about it.- Hi, you all right? - All right? What are you doing here?
0:02:35 > 0:02:36Finished my stint in MIU.
0:02:36 > 0:02:39I've come in to check the off-duty, see when I'm next in ED.
0:02:39 > 0:02:44- Is Tess on duty?- Yes, she is. And, er, I'd have brought flowers.
0:02:50 > 0:02:52And where am I supposed to put this?
0:02:53 > 0:02:57Leather looks good on you. You should wear it more often.
0:02:57 > 0:02:59I look like Cat Woman's frumpy sister.
0:02:59 > 0:03:02And it smells. Don't you ever get it cleaned?
0:03:02 > 0:03:04That's the smell of the open road.
0:03:05 > 0:03:07- All right, helmet on.- Oh.
0:03:09 > 0:03:10Here, let me help you.
0:03:12 > 0:03:14You look great.
0:03:14 > 0:03:18- So how am I going to get on this thing?- Relax! It'll be fun.
0:03:19 > 0:03:20Right, on you get.
0:03:22 > 0:03:23Wrap your arms around me.
0:03:23 > 0:03:26- Oh, now I see what the plan is. - Tighter.
0:03:26 > 0:03:28I don't want to squash the rose. You know,
0:03:28 > 0:03:32most men would just take a girl out for dinner on a second date.
0:03:32 > 0:03:33I'm not like most men, am I?
0:03:36 > 0:03:38All right, hold on.
0:03:44 > 0:03:47AMBULANCE SIREN
0:03:57 > 0:04:00Downstairs day room, 15 people. They're all out.
0:04:00 > 0:04:02Cavalry's here. Gather round.
0:04:02 > 0:04:04Fire started in the downstairs day room.
0:04:04 > 0:04:06It's out now so we're good to go in.
0:04:06 > 0:04:08Dave, Mac, I'd like you to treat the residents out here.
0:04:08 > 0:04:11There's a lot of scared, vulnerable people.
0:04:11 > 0:04:12Triage as best you can.
0:04:12 > 0:04:14Would you like me to get on to ambulance control?
0:04:14 > 0:04:16- See if there's anyone available? - Yeah, OK, great.
0:04:16 > 0:04:19The fire's taken out all the electrics - so that's
0:04:19 > 0:04:22the medical and monitoring equipment down, so regular obs, please.
0:04:22 > 0:04:24Tamzin, we have a gentleman still inside with a suspected
0:04:24 > 0:04:27- cardiac arrest, so that's you and me.- Yup.- Let's do this thing.
0:04:30 > 0:04:31Thanks, buddy.
0:04:33 > 0:04:363006 to Control - looks like we're on our way to you with 15 patients -
0:04:36 > 0:04:39all elderly and infirm, some with mobility issues.
0:04:39 > 0:04:42- One with a suspected cardiac arrest. Over.- Excuse me? It's this way.
0:04:42 > 0:04:47- Jeff?- Control to 3006, received, over.- OK, thanks.
0:04:47 > 0:04:49This way? OK.
0:04:49 > 0:04:52- This way! Please!- All right, love, we're on our way, don't worry.
0:04:52 > 0:04:57- OK, sweet pea - through here, yeah? - We're here.- Room 50. OK. - Thank you - 50.
0:04:57 > 0:05:00Hello? Ambulance service.
0:05:00 > 0:05:03- Clear!- OK, mind yourself, mate, please. Bit of room.
0:05:03 > 0:05:07MONITOR SOUNDS THEN STOPS
0:05:08 > 0:05:12- OK, I've got a pulse.- I did it. - Are you're the nursing manager?
0:05:12 > 0:05:14- Yeah, Colin McKenna. - What's the patient's name?
0:05:14 > 0:05:17- Peter Taper.- Peter. I'm his wife.
0:05:17 > 0:05:20Peter? Peter, can you hear me?
0:05:20 > 0:05:22He's OK? He's going to be OK, right?
0:05:22 > 0:05:26He's 91 years old. Terminal.
0:05:26 > 0:05:27Right, OK, what treatment's he receiving?
0:05:27 > 0:05:29Pulse is faint. And thready.
0:05:29 > 0:05:31He's receiving end-of-life care.
0:05:31 > 0:05:33- Any DNR?- What's DNR?
0:05:33 > 0:05:34No.
0:05:34 > 0:05:37There's no pre-planned DNR in place.
0:05:37 > 0:05:41I mean, I wouldn't be shocking him otherwise, would I?
0:05:41 > 0:05:45No. Could you take this lovely young lady outside for me?
0:05:45 > 0:05:47- Oh, I don't want to leave him. - It's OK.
0:05:47 > 0:05:50Peter's going to come right out behind you. I promise.
0:05:51 > 0:05:53Thanks.
0:05:55 > 0:05:58- Jeff, he's dying. - Yeah, I know.
0:05:58 > 0:06:02But without any DNR in place we're obliged to keep him going
0:06:02 > 0:06:04till we get him to the ED, aren't we? Nice.
0:06:16 > 0:06:17Charlie, er...
0:06:17 > 0:06:20Where are those breach reports from last month?
0:06:20 > 0:06:23- Guy Self has been asking me for them.- On the computer, as usual.
0:06:23 > 0:06:26Right, OK, erm..
0:06:26 > 0:06:29- You finally read it, then? - Every word - twice.
0:06:29 > 0:06:31It's really good. Thank you.
0:06:31 > 0:06:34Listen, about what you said.
0:06:34 > 0:06:38You were right. I need to take charge of the department more...
0:06:38 > 0:06:40And you're a great doctor, Zoe, but...
0:06:40 > 0:06:42But I need to be a better clinical lead.
0:06:42 > 0:06:45Hi, Charlie. I just needed to talk to you about the quarterly
0:06:45 > 0:06:47drug expenditure - I think I've found some savings.
0:06:47 > 0:06:50Great. Always open to new ideas.
0:06:55 > 0:06:58Ah, Brie and grape?
0:06:58 > 0:07:00- Mmm.- Lovely.
0:07:00 > 0:07:04I've never understood why anyone would put fruit in a sandwich.
0:07:04 > 0:07:06Well, we all know you're a man of simple taste, Cal.
0:07:06 > 0:07:09- Ah, thank you very much. - Yeah, just that, please.
0:07:10 > 0:07:13Oh, ah, I've forgotten my money, hold on. Cal..?
0:07:14 > 0:07:18Maggie, can you put that by for me? I'll be back in a bit.
0:07:19 > 0:07:21Dr Knight.
0:07:21 > 0:07:24- Dr Chao.- Haven't seen you around this past couple of days.
0:07:24 > 0:07:27Ah, you know how it is. Work, work, work.
0:07:27 > 0:07:28Any interesting cases?
0:07:28 > 0:07:30I can be interested in anything for about an hour.
0:07:30 > 0:07:32That's why I became an ED doctor.
0:07:32 > 0:07:35I had a fascinating multiple fractures patient yesterday.
0:07:35 > 0:07:37He was practically folded in half.
0:07:37 > 0:07:41- Sounds lovely.- I can show you the X-rays if you want.
0:07:41 > 0:07:42What are you doing after work?
0:07:42 > 0:07:44I've really got to catch up on some sleep.
0:07:44 > 0:07:46- We can do that.- OK.
0:07:46 > 0:07:49Last time you wore me out. So...
0:07:49 > 0:07:51I just need a quiet night in. We'll do it again soon though.
0:07:51 > 0:07:53Promise.
0:08:02 > 0:08:04Yeeeyy! Hahahaha! Hold on!
0:08:09 > 0:08:11Picking up some speed!
0:08:12 > 0:08:15Shouldn't your back-up generator have kicked in by now?
0:08:15 > 0:08:17Yeah, I was just about to get that serviced.
0:08:17 > 0:08:19You know how it is in the healthcare business.
0:08:19 > 0:08:21Never enough time, not enough resources.
0:08:21 > 0:08:24- Even in the private sector? - Jeff, we need to get a move on.
0:08:24 > 0:08:27I'll see you in the hospital, Norah. Peter'll be OK.
0:08:36 > 0:08:39- What's up? - There's been a fire in a care home.
0:08:39 > 0:08:4215 elderly patients, one potential cardiac arrest.
0:08:42 > 0:08:45Start clearing cubicles of minors and warn Reception, please.
0:08:45 > 0:08:48They're a mixture of acute and care-of-the-elderly.
0:08:48 > 0:08:51The more that we can place in the rest of the hospital, the less will have to wait here.
0:08:51 > 0:08:53That's a lot of beds to find in an hour,
0:08:53 > 0:08:55we should split with another hospital.
0:08:55 > 0:08:57Well, that depends on their bed states.
0:08:57 > 0:09:00- Some of them are coming here whatever we do.- Yeah.
0:09:00 > 0:09:03Look, if you'd have been around a couple of thousand years ago, Tess,
0:09:03 > 0:09:05baby Jesus wouldn't have been born in a stable.
0:09:05 > 0:09:08Do what you do - Max. Max.
0:09:08 > 0:09:09I need all the help I can get.
0:09:10 > 0:09:13- I owe you. - OK, but I'm keeping a list.
0:09:15 > 0:09:18POLICE SIREN BLARES
0:09:18 > 0:09:19Hold on! Hold on tight!
0:09:20 > 0:09:23- Whohooah!- Amil!
0:09:24 > 0:09:26Wheheyyy!
0:09:26 > 0:09:28THEY LAUGH
0:09:40 > 0:09:42All right, lost him.
0:09:47 > 0:09:50ENGINE SPLUTTERS AND DIES
0:09:52 > 0:09:55- Sonja.- My arm.
0:09:55 > 0:09:58- You're all right. - My arm.- You're OK.
0:10:00 > 0:10:03- OOWW!- OK, easy! Easy! - Ow!
0:10:08 > 0:10:11Oh come on, mate! Get a move on, will ya?
0:10:11 > 0:10:14How does being blind and deaf qualify you for a driving licence?!
0:10:14 > 0:10:17BP's in his boots, Jeff. We need to get a move on, mate.
0:10:17 > 0:10:19We'll be as quick as we can, all right, Norah?
0:10:19 > 0:10:22- HEART MONITOR BLEEPS - We've got no output, Jeff!
0:10:22 > 0:10:25Peter! Wake up, love - it's me.
0:10:25 > 0:10:27Pulse is VT, Jeff!
0:10:27 > 0:10:31Norah, you need to let go because I need to shock him. Sit back.
0:10:32 > 0:10:35- Still no pulse, I'm starting CPR. - OK, all right.
0:10:35 > 0:10:37- 60 seconds, we'll be there! - One, two, three, four.
0:10:37 > 0:10:39One, two, three, four.
0:10:39 > 0:10:41RIBS CRUNCH
0:10:41 > 0:10:43- Oh, God!- It's all right, Norah - that sometimes happens.
0:10:43 > 0:10:45I'm so sorry, sweetheart.
0:10:46 > 0:10:48Who do we have here?
0:10:48 > 0:10:50This is Alice from Forest Glade Nursing Home.
0:10:50 > 0:10:54- She's 80 years old. - OK. Hello, Alice, I'm Mrs Beauchamp.
0:10:54 > 0:10:58But you can call me Connie. I'm one of the doctors here.
0:10:58 > 0:11:01- Can you tell me what happened? - No.- No. OK.
0:11:01 > 0:11:03She was in the room where the fire broke out,
0:11:03 > 0:11:06but there are no visible signs of injury or smoke inhalation.
0:11:06 > 0:11:08With your permission, Alice, I'd like to check you over,
0:11:08 > 0:11:12and then I think I'll prescribe a good strong cup of tea and some biscuits.
0:11:12 > 0:11:16- I need to help with the beds. - Yeah, that's fine, I've got this.
0:11:16 > 0:11:17Lofty.
0:11:17 > 0:11:19I know we need to talk before I come back officially,
0:11:19 > 0:11:22but under the circumstances I'd like to volunteer for duty.
0:11:23 > 0:11:25- Get yourself changed.- OK.
0:11:25 > 0:11:29- But we still need to have that talk when this is all over. - Look forward to it.
0:11:29 > 0:11:32- You're going to love this. - Toothache?
0:11:32 > 0:11:35Didn't you try telling him how desperately we need
0:11:35 > 0:11:38- these beds for the care home patients?- Yeah.- And he said...?
0:11:38 > 0:11:41He said he saw the triage nurse over three hours ago,
0:11:41 > 0:11:43and because we only offered him advice and analgesia,
0:11:43 > 0:11:46he's insisting he's not moving until he sees a doctor.
0:11:46 > 0:11:50- Right. I think I know just the one. - I've cleared my patient. Next?
0:11:59 > 0:12:01- End-of-life patient coming in. - Oh, right,
0:12:01 > 0:12:03I'm on hold trying to get this patient a bed.
0:12:03 > 0:12:05Yeah, Charlie, we're on.
0:12:08 > 0:12:10Hi. Name, please?
0:12:10 > 0:12:11- Amil.- Er, no, her name.- Sonja.
0:12:11 > 0:12:14- Sonja Egan - she's in a lot of pain. - OK, take a seat -
0:12:14 > 0:12:17someone will come and see you soon, yeah?
0:12:17 > 0:12:22- Rita!- Sonja? What are you doing here?- She needs a doctor.- Rita?
0:12:22 > 0:12:26- It's OK, I've got it. - I'll catch you later, OK?
0:12:26 > 0:12:29- Do you want to come with me? - OK, this is Peter Taper, he's 91.
0:12:29 > 0:12:32When we arrived he was in cardiac arrest.
0:12:32 > 0:12:34He was shocked out of VF by the care home nursing manager.
0:12:34 > 0:12:36Developed pulseless VT in the ambo -
0:12:36 > 0:12:39he's had 150 joules without effect.
0:12:39 > 0:12:43Been unconscious for some time with no output. Query fracture ribs
0:12:43 > 0:12:45during CPR, unable to get venous access en route.
0:12:45 > 0:12:47Charlie, this is Norah, Peter's wife.
0:12:47 > 0:12:49- Please save him. - I think it might be best
0:12:49 > 0:12:51if we were to pop you in the relatives' room for the moment.
0:12:51 > 0:12:54- No, no! I'm going to stay with Peter.- OK. That's fine.
0:12:54 > 0:12:56This is Bec, she'll look after you.
0:12:56 > 0:12:59Now don't be afraid to leave if you need to or want to, OK?
0:12:59 > 0:13:01- Don't worry about Peter. - How long's it been?
0:13:01 > 0:13:04- Erm... Arrival to here, around 15 minutes.- Stop CPR.
0:13:06 > 0:13:08He's still in VT, stand by to shock.
0:13:08 > 0:13:10Charging.
0:13:10 > 0:13:12OK, stand clear.
0:13:12 > 0:13:14Shocking.
0:13:15 > 0:13:17OK. Rita, can you start CPR?
0:13:24 > 0:13:28- Steady, thanks.- Thanks. I looked like Michelin man in that.
0:13:28 > 0:13:30Wow. How did that happen, Sonja?
0:13:30 > 0:13:34She fell off my bike. It's all my fault. I was trying to impress her.
0:13:34 > 0:13:36- Not known each other long?- No.
0:13:36 > 0:13:40- Maybe next time, go for the safe option? Restaurant?- What did I say?
0:13:42 > 0:13:45- I'm joking. I loved every minute.- Really?
0:13:45 > 0:13:47No-one could call you predictable.
0:13:47 > 0:13:51OK. Can you feel that? And that?
0:13:51 > 0:13:53All of them? Give it a wiggle. That's good.
0:13:53 > 0:13:56Hopefully that means there's no nerve damage,
0:13:56 > 0:13:58but we'll need an X-ray to make sure there's no fractures.
0:13:58 > 0:14:00Can't you just take it out?
0:14:00 > 0:14:02It's possible it might need surgical removal.
0:14:02 > 0:14:04- We'll get you some pain relief in the meantime.- Oh.
0:14:04 > 0:14:07- Let's give her 5 milligrams of morphine.- So you know Rita?
0:14:07 > 0:14:09I was a receptionist at her old ED.
0:14:09 > 0:14:13- We were famous for our karaoke double-act.- Hm. Sounds like her.
0:14:13 > 0:14:15OK. I'll be right back with your pain relief.
0:14:15 > 0:14:17Just keep pressure on that. OK.
0:14:19 > 0:14:23Oh, dear! It was probably going quite well until he smashed her up on a bike ride.
0:14:23 > 0:14:26- Not everyone has our easy charm with the ladies.- Speaking of which...
0:14:26 > 0:14:29- You owe me 40 quid.- You didn't...?
0:14:29 > 0:14:32- I'm afraid I did.- Really?- Yep.
0:14:35 > 0:14:40- Come on.- You know what? Lily really should know better.- Yeah.
0:14:44 > 0:14:46OK. Stop a second.
0:14:48 > 0:14:51He's been asystolic for ten minutes now.
0:14:51 > 0:14:53I don't think we can do any more. Are we agreed?
0:14:55 > 0:14:57Time of death, 14.50.
0:14:57 > 0:15:04No. No. Please. Please, there must be something else.
0:15:04 > 0:15:05I'm so sorry.
0:15:06 > 0:15:10But... But I'm not ready.
0:15:10 > 0:15:12Sorry, Norah.
0:15:12 > 0:15:15Mr McKenna said he'd be OK.
0:15:19 > 0:15:21Why don't you come say goodbye?
0:15:28 > 0:15:30Oh, Peter. Peter.
0:15:34 > 0:15:36Peter.
0:15:38 > 0:15:42- Jeff. Why did you even start CPR? - Well, we didn't.
0:15:42 > 0:15:45It was the nursing manager, McKenna.
0:15:45 > 0:15:47There was a care plan in place, but no DNR.
0:15:47 > 0:15:49I mean, the whole set-up was a joke.
0:15:49 > 0:15:51They managed to set fire to the place with a birthday cake,
0:15:51 > 0:15:53that blew the electrics.
0:15:53 > 0:15:55There was no back-up generator.
0:15:55 > 0:15:58He hadn't had it serviced, apparently. Pathetic.
0:15:58 > 0:16:02It's not right. A man of his age should have been allowed to pass over peacefully.
0:16:02 > 0:16:04Yeah.
0:16:06 > 0:16:09It looks like you've had some recent dental work, Mr Griffiths?
0:16:09 > 0:16:12- Yes. A root filling. - It may have become infected.
0:16:12 > 0:16:15I can give you some pain relief to take home, and if you
0:16:15 > 0:16:18call your dentist I'm sure he'll fit you in for an emergency appointment.
0:16:18 > 0:16:21No. There must be a dentist here somewhere.
0:16:21 > 0:16:22We have an on-call dentist,
0:16:22 > 0:16:25but this is not an emergency. I don't think they will see you.
0:16:25 > 0:16:27I can give you a list of NHS dentists if you want?
0:16:27 > 0:16:31- I'm in pain.- Yes, I understand that...- Unbearable pain.
0:16:31 > 0:16:34And I'm prescribing you analgesics to take care of that.
0:16:34 > 0:16:38Look, I can't sleep. I can't think. I can't eat.
0:16:38 > 0:16:40But you really need to see your own dentist.
0:16:40 > 0:16:42If you wait in Reception,
0:16:42 > 0:16:45our nurse will bring you your medication and you can go home.
0:16:45 > 0:16:49- No.- Excuse me? - I'm not going anywhere.
0:16:49 > 0:16:54Your job is to look after me - my taxes pay your wages.
0:16:54 > 0:16:57On that basis, as a taxpayer myself I pay my own wages.
0:17:02 > 0:17:03Fetch me a pair of pliers.
0:17:03 > 0:17:06If he wants his tooth removed, I'll do it myself.
0:17:22 > 0:17:24Colin McKenna, the Nursing Manager.
0:17:24 > 0:17:26Hi, I'm Dr Hanna.
0:17:26 > 0:17:29We are trying to admit all the patients as soon as possible.
0:17:29 > 0:17:32Unfortunately Peter Taper passed away.
0:17:32 > 0:17:34- It wasn't a good death. - Rita.- I'm sorry?
0:17:34 > 0:17:37Peter shouldn't have had to make the ambulance ride.
0:17:37 > 0:17:39Rita, why don't you help Tess over there, please?
0:17:39 > 0:17:41Sorry. It's a little fraught in here today.
0:17:41 > 0:17:44We need one more doctor and at least one more nurse.
0:17:44 > 0:17:46Well, Martin isn't picking up his phone.
0:17:46 > 0:17:49- Try asking the elderly care team see if they can help us out.- Yes.
0:17:51 > 0:17:54Zoe, we shouldn't be holding elderly patients in reception.
0:17:54 > 0:17:57I'm aware of that, Connie. We're trying to manage the numbers.
0:17:57 > 0:17:59Managing the numbers is only part of it.
0:17:59 > 0:18:00It's about quality of care.
0:18:02 > 0:18:03How are we doing?
0:18:03 > 0:18:05Mac, can you talk me through this one?
0:18:05 > 0:18:10OK. This is Margaret Johnson, 85 years old, involved in a fire.
0:18:10 > 0:18:12No obvious injuries.
0:18:12 > 0:18:16GCS 14 on arrival, no improvement en route.
0:18:16 > 0:18:20BP 110/80, pulse 90, SATS 92%.
0:18:20 > 0:18:21Is that everything?
0:18:23 > 0:18:24She also has Alzheimer's.
0:18:24 > 0:18:27Let's get her straight to resus. I'll take this one.
0:18:28 > 0:18:30Yes, I would like to file an insurance claim.
0:18:30 > 0:18:33Excuse me, is there anybody with Margaret?
0:18:33 > 0:18:34- Any visitors or relatives? - Not really.
0:18:34 > 0:18:36What does that mean? Not really?
0:18:36 > 0:18:39Forest Glade Nursing Home, yes. We've had a fire.
0:18:39 > 0:18:41Margaret? I'm Rita, I'm a nurse.
0:18:41 > 0:18:44I'm going to check you over, OK?
0:18:46 > 0:18:49Could you just give us a minute, Mac?
0:18:50 > 0:18:54Sweetheart, can you squeeze my hand if you can hear me.
0:18:58 > 0:18:59That's great.
0:18:59 > 0:19:04You're in hospital, everything is fine, we're looking after you.
0:19:04 > 0:19:07But I'll be losing money for as long as we have to close.
0:19:07 > 0:19:09Excuse me, take that outside.
0:19:15 > 0:19:22Guy. Hello. Bad news travels fast. No, we can cope.
0:19:22 > 0:19:25I think Dr Hanna thrives on creating chaos, I'll knock it
0:19:25 > 0:19:27back into shape - don't worry.
0:19:29 > 0:19:31No, really. That's not necessary.
0:19:31 > 0:19:33If you want, you can have a look for yourself, but...
0:19:33 > 0:19:36Mrs Beauchamp, can we have some help over here?
0:19:36 > 0:19:37Sorry, Guy, I've got to go.
0:19:39 > 0:19:42Airway clear - no sign of smoke inhalation.
0:19:42 > 0:19:43Let's continue with the O2.
0:19:46 > 0:19:50OK, so this lady must have someone come to see her.
0:19:50 > 0:19:52Who do you notify in case of an emergency?
0:19:52 > 0:19:55Her healthcare's paid for out of her own assets.
0:19:55 > 0:19:57I remember a visit from another little old dear
0:19:57 > 0:19:59a couple of times but with Margaret's Alzheimer's,
0:19:59 > 0:20:01she wouldn't even know she was here anyway.
0:20:01 > 0:20:03OK. Can I have her contact details, please?
0:20:03 > 0:20:05The Fire Service are still securing the place.
0:20:05 > 0:20:08- I won't be able to get back in till tomorrow sometime.- Of course.
0:20:08 > 0:20:11It was more important for you to get your insurance policy as you
0:20:11 > 0:20:14walked out the door, rather than the next-of-kin contact list.
0:20:14 > 0:20:17I'm a qualified nurse, you know. I provide a good service.
0:20:17 > 0:20:20It's not a service, it's a duty of care. You appear to have forgotten that.
0:20:20 > 0:20:22Can we get her into a gown, please?
0:20:22 > 0:20:25Peter Taper should have died comfortably in bed, not in here.
0:20:25 > 0:20:27I'm sorry, but who the hell do you think you are?
0:20:27 > 0:20:30- What's going on here? - Get your pit-bull off me.
0:20:30 > 0:20:32What's wrong with you people?
0:20:32 > 0:20:35My husband was fine until he came in here.
0:20:37 > 0:20:39Can I have a word outside, Rita?
0:20:42 > 0:20:44What's wrong with you?
0:20:44 > 0:20:47I checked with Peter Taper's doctor about his care plan.
0:20:47 > 0:20:49There was no DNR agreed. So McKenna's hands are tied.
0:20:49 > 0:20:53- It's inhumane. - Rita, humans don't die easily.
0:20:53 > 0:20:56They cling on until the very last second, you know that.
0:20:56 > 0:20:58Sometimes they don't want a DNR. That's their decision.
0:20:58 > 0:21:01Not McKenna's, not mine, not yours.
0:21:01 > 0:21:05As far as we're concerned, he is the only known contact of Margaret's,
0:21:05 > 0:21:08so you treat him like you would any grieving relative. OK?
0:21:08 > 0:21:11- I want you to take five minutes. - I just...
0:21:11 > 0:21:12Just take five minutes, please.
0:21:16 > 0:21:19..I'm sending my patient up now.
0:21:19 > 0:21:21Move them to ITU if you need to.
0:21:34 > 0:21:37Oh, you're joking. Oh, come on!
0:21:45 > 0:21:47I'll take you to the relatives room.
0:21:48 > 0:21:52Norah. I'm so sorry.
0:21:52 > 0:21:56- I just think Peter could have died more peacefully.- Yes, he should.
0:21:56 > 0:22:01That paramedic even broke Peter's rib while she was treating him.
0:22:01 > 0:22:04Unfortunately, that is not uncommon in elderly patients.
0:22:04 > 0:22:07But nobody explained anything to me.
0:22:07 > 0:22:11Those ambulance people were talking about a DNR.
0:22:11 > 0:22:14I don't even know what that means.
0:22:14 > 0:22:20OK. So a DNR stands for do not attempt resuscitation.
0:22:20 > 0:22:23It's a legal order that patients can sign that says
0:22:23 > 0:22:27they don't want extensive intervention if they're dying.
0:22:27 > 0:22:30Didn't Mr McKenna discuss this with you?
0:22:30 > 0:22:33No. No, I don't think so.
0:22:33 > 0:22:37I only wanted what was best for Peter.
0:22:37 > 0:22:41Mr McKenna promised that he would take good care of him.
0:22:41 > 0:22:42Of course.
0:22:42 > 0:22:43Thank you, Norah.
0:22:47 > 0:22:49Do you think he should have had one?
0:22:49 > 0:22:54- One of those DNR things?- Only Peter could have decided that.
0:22:56 > 0:22:57Let's go.
0:23:07 > 0:23:11- That looks tricky.- Trust me - I know how to tie a girl up in knots.
0:23:11 > 0:23:13He's as bad as you.
0:23:13 > 0:23:17- Hi, Sonja. We got your X-rays back.- Ah, ouch.
0:23:17 > 0:23:20We're going to have to send you off to theatre, I'm afraid.
0:23:20 > 0:23:23The way the wood's splintered inside means we'll have to clean it out surgically.
0:23:23 > 0:23:25In the meantime, can you get Sonja a gown
0:23:25 > 0:23:27while I talk to the orthopaedic surgeons?
0:23:27 > 0:23:29And let's get some antibiotics into her -
0:23:29 > 0:23:321.2 grams of co-amoxiclav IV and a tetanus booster.
0:23:36 > 0:23:38Rita. I'll be here overnight now.
0:23:38 > 0:23:42- Give us a chance to catch up when your shift's over.- Overnight?
0:23:42 > 0:23:44You got a wife and kids to get back to?
0:23:44 > 0:23:47- No, I just don't want to be in the way.- Don't be silly.
0:23:47 > 0:23:51What about you, Rita? Any kids yet? How's Mark?
0:23:51 > 0:23:55Is he still dragging you down White Hart Lane every other weekend?
0:23:55 > 0:23:56Rita's husband was a big Spurs fan.
0:23:56 > 0:23:59No. No, I didn't.
0:23:59 > 0:24:02We should all got to get together some night.
0:24:02 > 0:24:03He's dead.
0:24:07 > 0:24:09Mark's dead.
0:24:09 > 0:24:11Rita, I'm so sorry...
0:24:12 > 0:24:13Would you excuse me?
0:24:16 > 0:24:19I feel terrible, I didn't know.
0:24:19 > 0:24:22Let's not worry about that for now, let's concentrate on you.
0:24:22 > 0:24:25- We need to get you into this. - I can manage myself.
0:24:25 > 0:24:27OK.
0:24:37 > 0:24:40Hey, how's she doing?
0:24:40 > 0:24:45Pulse, BP, SATS are all fluctuating. She is basically trending downwards.
0:24:45 > 0:24:48I spoke to Norah about why Peter didn't have a DNR in place.
0:24:48 > 0:24:51- OK, and...?- She said McKenna never discussed it with them.
0:24:51 > 0:24:53He said there was nothing agreed,
0:24:53 > 0:24:55but he didn't half seem shifty about it.
0:24:55 > 0:24:58You don't make any money from the residents once they're dead, do you?
0:24:58 > 0:25:01- MARGARET GROANS - All right, Margaret.
0:25:02 > 0:25:04OK, she's burning up.
0:25:04 > 0:25:06Jeff, can you find McKenna for me, please?
0:25:06 > 0:25:09I need to know everything about this woman's medical history.
0:25:09 > 0:25:10OK, I'll do it now.
0:25:10 > 0:25:12Sats are 95%.
0:25:12 > 0:25:13Date of birth?
0:25:13 > 0:25:177/6/...1914?
0:25:17 > 0:25:19Fred, I think you're playing with us.
0:25:19 > 0:25:23A good-looking young man like you couldn't possibly be 100 years old.
0:25:23 > 0:25:25- I can.- Prove it.
0:25:27 > 0:25:30Oh, you have got it! Look at this.
0:25:30 > 0:25:32- That's from the Queen?- Yeah.
0:25:32 > 0:25:35Get to be 100, you get congratulations from the Palace.
0:25:35 > 0:25:36I'm so adding that to my bucket list.
0:25:36 > 0:25:39Well, I would love to offer you champagne,
0:25:39 > 0:25:41- but unfortunately, we've only got tea.- Oh.
0:25:41 > 0:25:42I know. Maybe next time.
0:25:47 > 0:25:48I've got an idea.
0:25:52 > 0:25:55I managed to get your dentist on the phone.
0:25:55 > 0:25:57She tells me she prescribed the appropriate pain relief
0:25:57 > 0:25:58following your recent dental work.
0:25:58 > 0:26:01Well, it's not working, is it? I don't care what they say.
0:26:01 > 0:26:02Let me have a look again.
0:26:04 > 0:26:06Have you been drinking?
0:26:06 > 0:26:08- No, I haven't. - I can smell it on your breath.
0:26:08 > 0:26:11And I don't need to be a doctor to work that out.
0:26:11 > 0:26:12Well, since you haven't been helping me,
0:26:12 > 0:26:15I've been self-medicating for pain relief.
0:26:15 > 0:26:18Whisky numbs a painful tooth. Everybody knows that.
0:26:18 > 0:26:21An entire flask? Your tooth is not that big.
0:26:21 > 0:26:24I'll keep this safe for you until later.
0:26:26 > 0:26:27HE SIGHS
0:26:31 > 0:26:33I'm told you were looking for me.
0:26:33 > 0:26:35Yeah. I need a full medical history.
0:26:35 > 0:26:36She's 85 years old. How long have you got?
0:26:38 > 0:26:40- That's not helpful, McKenna. - It's Mr McKenna.
0:26:40 > 0:26:41Right, Rita.
0:26:41 > 0:26:43She's pyrexic at 38.5.
0:26:43 > 0:26:45OK, let's hang up another bag of saline,
0:26:45 > 0:26:48give her a gram of paracetamol, and I'll do a venous blood gas.
0:26:48 > 0:26:51She has a history of acute UTIs. We need to do a dip test.
0:26:51 > 0:26:53FBCs, U and Es, and a urinalysis, please.
0:26:53 > 0:26:55Yes, I know, we've got it, thank you.
0:26:55 > 0:26:58- And one gram of amoxicillin IV. - Only trying to help.
0:26:58 > 0:26:59I am a fully qualified nurse.
0:26:59 > 0:27:02Yeah, you said that, but it takes more than qualifications
0:27:02 > 0:27:03- to be a nurse.- Rita!
0:27:03 > 0:27:06I'm sorry, but he didn't even tell Norah
0:27:06 > 0:27:08that a DNR was a possibility for her husband!
0:27:08 > 0:27:10Yeah. that's because it was something
0:27:10 > 0:27:12I knew she wouldn't even consider.
0:27:12 > 0:27:13I might not.
0:27:14 > 0:27:15But he might have.
0:27:16 > 0:27:18I sorry, I forgot my handbag.
0:27:18 > 0:27:22Norah, lots of people would have given up on Peter long before I did.
0:27:23 > 0:27:25My Peter fought in the war.
0:27:25 > 0:27:29Serious action in France and in Burma.
0:27:29 > 0:27:31He was no coward.
0:27:31 > 0:27:34He knew the difference between a good death and a bad death.
0:27:34 > 0:27:35Norah...
0:27:35 > 0:27:38You should have given him the choice.
0:27:38 > 0:27:40He should have died more peacefully.
0:27:43 > 0:27:47Alison, can you help Norah back to the relatives' room, please?
0:27:48 > 0:27:50Rita, I need that urinalysis.
0:28:00 > 0:28:03- I never had you down as a drinker, Dr Chao.- I'm not.
0:28:03 > 0:28:06- I don't even like wine gums. - Everything in moderation, eh?
0:28:06 > 0:28:07Are we going to talk?
0:28:11 > 0:28:13- About what?- About what?!
0:28:13 > 0:28:15About your views on warfarin versus novel oral anticoagulants
0:28:15 > 0:28:18for atrial fibrillation. What do you think I am talking about?!
0:28:21 > 0:28:24Like I said, Lily - everything in moderation.
0:28:29 > 0:28:30Everything OK?
0:28:35 > 0:28:39- What are you doing?- Right now?
0:28:39 > 0:28:41Praying for this shift to end.
0:28:42 > 0:28:45No, I mean with Lily. What's going on?
0:28:45 > 0:28:49Nothing. I think that's her problem.
0:28:52 > 0:28:55Will you say sorry to Rita for me?
0:28:55 > 0:28:57I didn't mean to upset her.
0:28:57 > 0:28:59Don't worry. Rita will be fine.
0:29:01 > 0:29:03OK, that's your antibiotics.
0:29:03 > 0:29:05So, how long've you two been together, then?
0:29:05 > 0:29:07- AT THE SAME TIME: Early days. - We're not exactly together.
0:29:09 > 0:29:11I'm still...wooing her.
0:29:11 > 0:29:13BOTH: Wooing?
0:29:13 > 0:29:17- This is what you call wooing? - Nah, good man.
0:29:17 > 0:29:21Right, tetanus coming up. You'll feel a sharp scratch...now.
0:29:25 > 0:29:26You all right there?
0:29:26 > 0:29:29Did you hurt that in the crash? Do you want me to have a look?
0:29:29 > 0:29:31- Nah, nah, it's fine. Just an itch.- OK.
0:29:31 > 0:29:34Well, I'm going to leave you to woo her some more.
0:29:34 > 0:29:36But I'm leaving the curtain open, all right?
0:29:44 > 0:29:46Rita. You all right?
0:29:46 > 0:29:47I'm fine, Fletch.
0:29:47 > 0:29:49Let's not, please. It was a long time ago.
0:29:49 > 0:29:51OK. But...you know,
0:29:51 > 0:29:52if you do want to talk about it.
0:29:52 > 0:29:55I'm sorry. Another time, OK?
0:29:55 > 0:29:58- OK.- It's not you. I'm just cranky. I haven't eaten all day.
0:29:58 > 0:30:00That blinking machine, it swallowed all my money
0:30:00 > 0:30:02and it's given me nothing in return.
0:30:02 > 0:30:04- It's not my day.- OK. Here.
0:30:05 > 0:30:07- Oh, no, no. - Get yourself something to eat.
0:30:07 > 0:30:09- Sure?- Course.
0:30:10 > 0:30:11Pay you back tomorrow?
0:30:23 > 0:30:25- Guy!- Hello, Zoe.
0:30:25 > 0:30:27If you're looking for the breach reports,
0:30:27 > 0:30:29I'm sorry, but we have been really busy.
0:30:29 > 0:30:31Yes, I can see that.
0:30:31 > 0:30:34Actually, I'm not here about the reports.
0:30:34 > 0:30:35No?
0:30:35 > 0:30:39It's been brought to my attention that some of the care home residents
0:30:39 > 0:30:40that have been brought in today
0:30:40 > 0:30:43have had to wait some time for a cubicle.
0:30:44 > 0:30:46Funnily enough, Mrs Beauchamp expressed similar concerns.
0:30:46 > 0:30:49But you will be happy to know that we have found beds
0:30:49 > 0:30:52for all the care home residents and they're getting treated as we speak.
0:30:52 > 0:30:54There was one death. Frankly, I'm questioning whether
0:30:54 > 0:30:56he should even have made it onto the ambulance.
0:30:56 > 0:30:58Apart from that, everything is in hand.
0:30:58 > 0:31:02Good. Sounds like you don't need my help.
0:31:02 > 0:31:07So, I'm going to let you get back to doing what you do best.
0:31:17 > 0:31:18HE GASPS
0:32:00 > 0:32:02HE RETCHES
0:32:05 > 0:32:08OK, we've got two care home patients in resus, one left in cubicles,
0:32:08 > 0:32:09and all the rest have gone up to wards.
0:32:09 > 0:32:12Thanks for holding the fort, you two. You've done a great job.
0:32:12 > 0:32:14Hey, we're not just employed for our good looks, you know.
0:32:14 > 0:32:16- Ha!- Especially not you.
0:32:16 > 0:32:17What did Guy want?
0:32:17 > 0:32:20Guy? He wanted to share your thoughts
0:32:20 > 0:32:23on the inadvertent holding pattern that we had in reception earlier.
0:32:23 > 0:32:25Well, I'm sure you see just the one death
0:32:25 > 0:32:27as a small victory under the circumstances.
0:32:27 > 0:32:29- It'll be two before the day's out. - Excuse me?
0:32:29 > 0:32:32This is an emergency department, Connie. It's not the Keller Ward.
0:32:32 > 0:32:34- Darwin.- We don't have time to play office politics.
0:32:34 > 0:32:37- Maybe you should.- Every single day it is emergency and death.
0:32:37 > 0:32:40Once you get your head round that, you and me will get on just fine.
0:32:40 > 0:32:41- Excuse me. - The difference between us,
0:32:41 > 0:32:45- I will never get my head around losing a patient.- This is not the place for this.- Oh, really?
0:32:45 > 0:32:47Thank you, Connie.
0:32:53 > 0:32:54I know. I know.
0:33:02 > 0:33:03Sonja?
0:33:03 > 0:33:06- She's having a snooze.- You sure you're all right with that ankle?
0:33:06 > 0:33:09Yeah, yeah. Since she's going to be in theatre and out of it
0:33:09 > 0:33:12and all that, I might shoot off now and come back in the morning.
0:33:12 > 0:33:13Sonja, can you hear me?
0:33:14 > 0:33:16I need some help in here!
0:33:16 > 0:33:18- What's wrong?- Hang on. - What's going on?
0:33:18 > 0:33:21She's not responding to physical or verbal stimulus. Excuse me.
0:33:23 > 0:33:26Pin-prick pupils. Let's get her to resus, please.
0:33:26 > 0:33:28- What's going on?- Did Sonja take any drugs earlier today?- What?
0:33:28 > 0:33:31- Be honest with me, Amil?- No! We just went for a bike ride.
0:33:31 > 0:33:33Can you keep an eye on him for me, please?
0:33:37 > 0:33:40Right, guys, she's displaying signs of an opiate overdose.
0:33:40 > 0:33:44Let's give her 400 of naloxone and, Fletch, can you do an ECG?
0:33:44 > 0:33:45Yep.
0:33:53 > 0:33:55How did we not know about this?
0:33:55 > 0:33:56She hasn't said anything.
0:33:56 > 0:33:59Probably because her brand-new boyfriend's been there
0:33:59 > 0:34:01the whole time and it's only their second date.
0:34:01 > 0:34:03I'll get the surgeons to release her theatre spot.
0:34:03 > 0:34:06We'll need a full medical history before we pass her over to them.
0:34:10 > 0:34:13Margaret's dip test proved positive for nitrates,
0:34:13 > 0:34:15haematuria and leucocytes.
0:34:16 > 0:34:18Let's make her as comfortable as we can.
0:34:18 > 0:34:21There's not much more we can do for her.
0:34:22 > 0:34:23You were right about him,
0:34:23 > 0:34:27but McKenna's not who we need to focus our attention on right now.
0:34:27 > 0:34:28It's Margaret.
0:34:28 > 0:34:31We'll deal with him later, OK? I'll sort out some pain relief.
0:34:33 > 0:34:36Margaret? It's me again.
0:34:36 > 0:34:41I know I go on a bit, but I'd love to hear some more about you.
0:34:41 > 0:34:45Is there anything we can do for you? Is there anyone I can contact?
0:34:48 > 0:34:50You don't have to think.
0:34:51 > 0:34:53Just listen to your heart.
0:34:58 > 0:34:59Hello.
0:35:00 > 0:35:01All right?
0:35:03 > 0:35:04What can I do for you?
0:35:07 > 0:35:08Purse?
0:35:09 > 0:35:11Going to open it, OK?
0:35:16 > 0:35:17Margaret, is that you on the left?
0:35:20 > 0:35:22How hot were you, Margaret?
0:35:22 > 0:35:24Who's that on the right?
0:35:26 > 0:35:27Jenny.
0:35:28 > 0:35:29Jenny your friend?
0:35:31 > 0:35:33You want me to contact Jenny?
0:35:34 > 0:35:36Margaret, how am I going to do that?
0:35:39 > 0:35:41Is she in here? OK.
0:35:41 > 0:35:44You hang on for me. I'll be back in a minute, OK?
0:35:46 > 0:35:48(Good work.)
0:35:53 > 0:35:56- RETCHING - Lily...
0:35:57 > 0:35:58Oh!
0:36:00 > 0:36:01Mr Griffiths.
0:36:01 > 0:36:03Want to tell me about this?
0:36:06 > 0:36:07What is it doing here?
0:36:09 > 0:36:11Do you really think you're the first person ever to try
0:36:11 > 0:36:14drinking the hand gel in hospital for its alcohol content?
0:36:14 > 0:36:17Well, it was a first for me, I'll admit it.
0:36:17 > 0:36:20- Much rather have a decent malt. - What else have you taken?
0:36:20 > 0:36:23- Remind me what medication you're on. - I don't know what it's called!
0:36:23 > 0:36:26- Metro...metro dazzle, or something.- Metronidazole.
0:36:26 > 0:36:27Show me.
0:36:29 > 0:36:31They're not working. They just make me sick.
0:36:31 > 0:36:33It's not the pills making you sick, it's the alcohol.
0:36:33 > 0:36:36And there's no way a dentist gave you these without telling you
0:36:36 > 0:36:38to abstain from alcohol during the course of treatment.
0:36:38 > 0:36:41Doctors always say that. Nobody ever takes any notice.
0:36:41 > 0:36:44What, and being sick didn't make you think otherwise?
0:36:44 > 0:36:47All you're doing is throwing up the medication straightaway.
0:36:47 > 0:36:49No wonder your tooth is getting worse.
0:36:49 > 0:36:52Take it out and I'll be fine.
0:36:52 > 0:36:55Mr Griffiths, the NHS is not in the practice
0:36:55 > 0:36:57of whipping out healthy body parts
0:36:57 > 0:37:00just so you can go on killing yourself with alcohol pain-free.
0:37:00 > 0:37:03What we can do is help you recover.
0:37:04 > 0:37:06Regard your dental abscess as a warning from your body.
0:37:06 > 0:37:08It doesn't like what you're doing.
0:37:08 > 0:37:12I can prescribe you diazepam to help with the withdrawal symptoms,
0:37:12 > 0:37:13and recommend you to a programme
0:37:13 > 0:37:16that will help you cut down your alcohol intake gradually.
0:37:16 > 0:37:18Would you like me to enrol you?
0:37:20 > 0:37:23Yeah. It's killing me, isn't it?
0:37:25 > 0:37:27Yeah, OK.
0:37:27 > 0:37:28Good.
0:37:31 > 0:37:32Doctor?
0:37:33 > 0:37:34Thank you.
0:37:42 > 0:37:44- Long day?- Aren't they always?
0:37:44 > 0:37:46Do you want to talk about it?
0:37:47 > 0:37:50Alcoholic abusing prescription meds.
0:37:50 > 0:37:56- Old story.- I meant if you ever need to talk about Cal, then I'm here.
0:37:57 > 0:37:59Why would I need to talk about him?
0:37:59 > 0:38:03I just know how... unreliable my brother can be.
0:38:04 > 0:38:06I'm not relying on Dr Knight for anything.
0:38:06 > 0:38:08No, no, of course not...
0:38:08 > 0:38:10And I hope he isn't going round telling people otherwise.
0:38:10 > 0:38:11No, it's just me.
0:38:11 > 0:38:13You?
0:38:13 > 0:38:16No, I didn't mean...
0:38:16 > 0:38:20Sorry, I meant, I saw you together and I know what he's like,
0:38:20 > 0:38:22how he can upset people.
0:38:23 > 0:38:26I'm really sorry if I got this wrong.
0:38:26 > 0:38:28Tell you one good thing about throwing up antibac -
0:38:28 > 0:38:31at least it's sterile vomit.
0:38:31 > 0:38:34- Do you think he'll ever give up the drink?- Yeah, course he will.
0:38:34 > 0:38:36He knows he'll have Lily to answer to if he doesn't.
0:38:36 > 0:38:38If you ordered me off the booze,
0:38:38 > 0:38:40I'd have a fridge full of mineral water
0:38:40 > 0:38:43faster than you could say "ventricular tachycardia".
0:38:44 > 0:38:48Anyway, lovely to chat as always, but yes, things to do.
0:38:56 > 0:38:58- Hey, what are you doing with that? - Orders from above.
0:38:58 > 0:39:01It's for Fred, the old boy who got his telegram from the Queen today.
0:39:01 > 0:39:04- We need to put 100 candles on it. - 100?!
0:39:04 > 0:39:08- Right, come on, then. You too. - It's what Her Majesty would want.
0:39:09 > 0:39:11- Did you hear about Rita? - Hear what?
0:39:11 > 0:39:14Apparently she used to be married. Husband died.
0:39:14 > 0:39:16Oh, mate, that's terrible.
0:39:18 > 0:39:19Seriously?
0:39:19 > 0:39:21- What?- After what happened today?
0:39:21 > 0:39:24You're going to put 100 candles on a cake
0:39:24 > 0:39:26- and light them in here? - It was his idea.
0:39:26 > 0:39:29- You only need three anyway.- Three?
0:39:29 > 0:39:31Think about it.
0:39:32 > 0:39:35- Lofty? Shall we have that chat now? - I was hoping you'd say that.
0:39:35 > 0:39:36I know.
0:39:37 > 0:39:40To tell you the truth, Jenny, even if you left right now,
0:39:40 > 0:39:43I don't think you'd be here in time.
0:39:43 > 0:39:45I want her to know that she's not alone
0:39:45 > 0:39:49and for you to know how sorry I am that this news has come too late.
0:39:49 > 0:39:51I would put you on the phone to her,
0:39:51 > 0:39:53but we just don't have that facility in resus.
0:39:53 > 0:39:57I'm so sorry. I will pass your message on.
0:39:58 > 0:40:00Bye.
0:40:00 > 0:40:02- Everything all right? - Elderly patient in resus.
0:40:02 > 0:40:05Spent most of her life in a same-sex relationship,
0:40:05 > 0:40:07and now her partner's family have put her
0:40:07 > 0:40:10in their local home, which is miles away.
0:40:10 > 0:40:13I'm just trying to find them some closure.
0:40:13 > 0:40:15Oh, no! Whose cake is that? I'm starving.
0:40:15 > 0:40:18- If you're 100, it's yours. - HE LAUGHS
0:40:18 > 0:40:21Listen...I've only just heard about your husband.
0:40:21 > 0:40:23I'm really sorry.
0:40:23 > 0:40:27Thank you, Noel. I prefer not to talk about it.
0:40:27 > 0:40:28Course...
0:40:40 > 0:40:44- Can I have a mobile phone top-up, please, Maggie?- Oh, yeah.
0:40:46 > 0:40:50Right, well, we are going to need to take a full medical history.
0:40:50 > 0:40:52- Could you excuse us?- No. Stay.
0:40:52 > 0:40:54You need to know this.
0:40:54 > 0:40:56Are you sure?
0:40:56 > 0:40:57Yeah.
0:41:00 > 0:41:01I like you, Amil...
0:41:01 > 0:41:03- Do you?- Yeah.
0:41:04 > 0:41:08- I just wanted to know that you liked me too, before I told you...- Course.
0:41:09 > 0:41:10What?
0:41:12 > 0:41:16I'm guessing you're probably on quite strong pain relief.
0:41:16 > 0:41:17Co-codamols?
0:41:19 > 0:41:22- So we overdosed on you with morphine.- Yes.
0:41:22 > 0:41:24- You did what?- It wasn't their fault.
0:41:24 > 0:41:26I should have said, but you were here the whole time -
0:41:26 > 0:41:28which is lovely, and thank you...
0:41:28 > 0:41:31Look. I have no idea what any of you are talking about.
0:41:34 > 0:41:38My mother died of cancer. My grandma too.
0:41:38 > 0:41:40They both had the same thing.
0:41:42 > 0:41:43Breast cancer.
0:41:44 > 0:41:49So, I've had an elective double mastectomy three months ago.
0:41:50 > 0:41:51Mastectomy.
0:41:52 > 0:41:54That's...
0:41:54 > 0:41:55that's...
0:41:57 > 0:41:59- Both of them?- Yeah.
0:42:00 > 0:42:02I've been having reconstructive surgery too.
0:42:04 > 0:42:07- A few more months and I'll be fully healed.- How many?
0:42:07 > 0:42:08Two, three...
0:42:10 > 0:42:12It's my birthday in three months.
0:42:12 > 0:42:14Now I know what I want for it.
0:42:25 > 0:42:28Are you sure you don't have a wife and kids at home?
0:42:28 > 0:42:30Look, since we're being honest...
0:42:37 > 0:42:39It's nothing serious, I swear.
0:42:39 > 0:42:42Bloke was beating up on his girlfriend outside the pub one night
0:42:42 > 0:42:45and somewhere in all the kerfuffle, he got a broken nose
0:42:45 > 0:42:47and I got a year's community order and a nightly curfew.
0:42:49 > 0:42:50I should have been home by seven.
0:42:51 > 0:42:54I'll be nicked now for breaching my conditions.
0:42:55 > 0:43:00- You've risked getting arrested to be here with me?- Sorry.
0:43:00 > 0:43:02I was going to tell you...
0:43:02 > 0:43:08Look, I can't promise anything, but I could talk to the police,
0:43:08 > 0:43:10- explain the circumstances.- Yeah?
0:43:10 > 0:43:11I can try.
0:43:11 > 0:43:14But I'd give them a call pretty sharpish
0:43:14 > 0:43:16- before they come looking for you. - Yeah.
0:43:17 > 0:43:19Yeah, I'll do that right now.
0:43:24 > 0:43:26So what do you say?
0:43:26 > 0:43:28I'll still have you if you'll still have me.
0:43:38 > 0:43:40Jenny?
0:43:40 > 0:43:43It's Rita Freeman again, from Holby City?
0:43:43 > 0:43:44I've had an idea.
0:43:46 > 0:43:48Zoe, can I just...?
0:43:51 > 0:43:54Margaret? Margaret, love...
0:43:54 > 0:43:57I've got Jenny on the phone for you.
0:43:57 > 0:43:59OK, Jenny, I'm going to put her on.
0:43:59 > 0:44:03She probably won't speak to you, but she can definitely hear you, OK?
0:44:27 > 0:44:28CONTINUOUS BEEP
0:44:32 > 0:44:33(She's gone.)
0:44:36 > 0:44:38She was smiling. She definitely heard you.
0:44:43 > 0:44:45PHONE RINGS OFF
0:44:59 > 0:45:04Excuse me, sorry. You seem in a bit of a hurry to get away.
0:45:04 > 0:45:06I need to check in with the care home again,
0:45:06 > 0:45:08see how soon we can get the facilities
0:45:08 > 0:45:10- up and running again for our residents.- No.
0:45:10 > 0:45:12- No?- There isn't a single resident
0:45:12 > 0:45:14that will be setting foot in your home again.
0:45:14 > 0:45:16I have no idea what you're talking about.
0:45:16 > 0:45:18You're not providing palliative care for your patients.
0:45:18 > 0:45:20You are simply maintaining them.
0:45:20 > 0:45:21Nonsense.
0:45:21 > 0:45:23I have years of experience.
0:45:23 > 0:45:24I can do the job just as well as you.
0:45:24 > 0:45:26Do you know what the only difference is?
0:45:26 > 0:45:29- I'm better paid.- Yeah, you're better paid because you're keeping
0:45:29 > 0:45:32your residents alive and squeezing every last penny out of them.
0:45:32 > 0:45:34- How dare you!- Oh, we dare.
0:45:34 > 0:45:36Nursing is a vocation, it's not a job.
0:45:36 > 0:45:40- Nobody becomes a nurse to get rich, Mr McKenna. - I don't know where the money goes.
0:45:40 > 0:45:42You didn't even get the back-up generator serviced!
0:45:42 > 0:45:45- This has nothing to do with you! - It's got everything to do with us.
0:45:45 > 0:45:48Peter Taper had a bad death today, and that was your fault.
0:45:48 > 0:45:49Because had he been under our care,
0:45:49 > 0:45:51yes, he may have died a few days earlier,
0:45:51 > 0:45:53but his wife would have been prepared
0:45:53 > 0:45:54and he would have been prepared.
0:45:54 > 0:45:56They would have got the ending that they deserved.
0:45:56 > 0:45:59Margaret Johnson just died now with joy in her eyes,
0:45:59 > 0:46:01and that is because Rita cared.
0:46:01 > 0:46:03That wouldn't have happened in your home.
0:46:03 > 0:46:06Right, so you let them die and you're blaming that on me?
0:46:06 > 0:46:11No. We saved them from suffering. We're blaming that on you.
0:46:13 > 0:46:15Better start looking for a new job. And not in the health industry,
0:46:15 > 0:46:17because I will be reporting you
0:46:17 > 0:46:19to the Care Quality Commission and the Nursing Council.
0:46:19 > 0:46:21You won't be treating any patients again.
0:46:31 > 0:46:32Hey, he's here.
0:46:32 > 0:46:37# For he's a jolly good fellow For he's a jolly good fellow
0:46:37 > 0:46:40# For he's a jolly good fellow...
0:46:40 > 0:46:42# And so say all of us. #
0:46:42 > 0:46:44THEY CHEER
0:46:47 > 0:46:49There you go. One, two, three...
0:46:49 > 0:46:52THEY CHEER AND APPLAUD
0:46:52 > 0:46:55- Will be good to have him back. - Sorry?
0:46:55 > 0:46:57Lofty. I told him he needed to shape up,
0:46:57 > 0:47:00but he's the only one who would be thoughtful enough to arrange this.
0:47:02 > 0:47:05- Night, Tess.- Oh, yeah. Goodnight.
0:47:12 > 0:47:15I've already told you, I don't get paid for three weeks.
0:47:15 > 0:47:16When I get it, you'll get it.
0:47:22 > 0:47:23Long day?
0:47:23 > 0:47:26- I have never felt so old and tired. - No, come on.
0:47:26 > 0:47:28Oh, don't start being nice to me, not now, Max.
0:47:28 > 0:47:30I was going to say terrible, but there you are.
0:47:30 > 0:47:32That's more like it.
0:47:32 > 0:47:35Listen, thanks for today, for staying. I do owe you.
0:47:35 > 0:47:38- Like I said, I'm keeping a list. - See you tomorrow.
0:47:40 > 0:47:41- Zoe...- Mm-hm?
0:47:41 > 0:47:43I think you look amazing.
0:47:49 > 0:47:53- I thought you were giving up?- I was.
0:47:53 > 0:47:56- Connie? About earlier... - Oh, forget it.
0:47:56 > 0:47:59- Really?- Yeah, forget it. I have.- Good.
0:48:08 > 0:48:10I thought you weren't going to make it.
0:48:10 > 0:48:12So did I.
0:48:12 > 0:48:16Really, Zoe is... that department is so disorganised.
0:48:16 > 0:48:19You look like someone who could do with a drink.
0:48:19 > 0:48:21And you look like someone who's buying.