In the Name of Love Casualty

The woman was sleeping with my husband

I know.

-ALL:

-To Fletch.

Does that mean you are team leader then? Yes.

It is your first day - do you want me to...?

No, that's fine. Yes, I am.

You know there is this shorthand between us.

We connect, don't we?

We are on the same wavelength.

I'd rather you didn't go, Mr Kingston.

I am afraid I have to be somewhere.

The blood test will only take five minutes.

-Are you on a commission or something?

-OK.

Well, I've gone through the risks of not having more investigations.

I can't stop you going, but it's against medical advice.

-Yes, understood.

-I'll e-mail your GP, but please do come back

if you have any worries. And do take it easy, OK?

I will be sure to do that.

Morning.

Would you leave some space between our arrivals!

You worried we are going to be exposed like Tess and Fletch?

No, I just do not want she who is now me

-to have any ammunition now that I am just a...

-Mere mortal.

-Yes.

There is nobody on that phone is there?

No. So, thank you very much. Bye-bye.

Mrs Beauchamp, you wanted to see me?

Yes, Lily. Come in, shut the door.

-I see you found the goods, then?

-Yeah. Where were you this morning?

I thought you were supposed to be helping us.

Listen, I just do the deal. The rest is up to you.

I've been asked to see Mrs Beauchamp.

Oh, that sounds ominous.

Ignore him. She's asking to see everybody.

New brooms like her, they always want to create their own team.

Well, somebody's certainly hit the ground running.

Sounds like Dixie is having a wonderful time in Peru.

Tamzin's put it down on her list of exciting honeymoons.

ON PHONE: You've read my postcard then?

-I thought it was for all of us.

-What is he doing skiving anyway?

Tamz wants to know what you're doing with your day off?

Standing in the middle of nowhere

-surrounded by the smell of mud, sweat and fear.

-You what?

It's not really a day off. I am doing a bit of overtime -

covering a private event for the Trust.

Oh, get you.

Need to earn a bit of extra cash to keep Tamzin

in those expensive drinks of hers. I'll catch you later, OK?

Excuse me. Could you tell me who's in charge here, please?

Samantha Kellman.

Oh, right. OK. Jeff Collier. Paramedic. I'm so sorry I am late.

It's all right. Medical declarations.

Ah, right, OK.

Do you know what? I can't actually believe people pay to do a muddy

assault course. Mad, isn't it?

I use to do a bit of fell running back in the day, but that was free.

The landowner must be coining it in, there's hundreds of them.

Everyone should attempt something out of their comfort zone

at least once a week.

Yeah, well, it looks like I'm going to have my work cut out.

You sure are.

This lot wear their cuts and bruises like badges of honour.

Great. Look forward to that.

And in that way we can maximise your clinical experience

in the department.

Sorry to interrupt. I just have to put my stuff down.

OK. Dr Chao and I were just finished. Thank you, Lily.

No, thank you. That was very informative.

I feel very reassured that we're being properly steered from the top.

Thank you.

You can always trust Lily to be chasing that

employee of the year award.

I'm hoping to hold weekly meetings with all medical

and senior nursing staff.

If they've got the time.

I think it's important they know my intentions and I theirs.

-Charlie.

-Sorry.

I know you wanted to have a meeting with me about budgets,

but I'm two key members of staff down.

Fletch's job has only just been advertised.

It is going to be a matter of weeks before we find a replacement.

And I am doing Tess's job now as well as my own.

She was on her way to an interview when she was on the train?

Do you know if that's still the case?

No, I haven't exactly had time to visit.

HR should get that sorted pronto.

-I am actually going on holiday myself soon.

-Anywhere nice?

Yeah, I'm going to New Zealand, to visit Louis, my son.

While you are here.

The Trust Board reported our four-hour admit/discharge targets

-as being at 92%.

-Not bad.

We were rated seventh in your last week

in comparison to other hospitals, so...

Well, I always found those targets very unrealistic in my experience.

Yes, well, I find they give focus and structure.

96 or 97% would be better. Thank you.

You haven't got any space in that suitcase, Charlie?

It's her ship now.

Tess?

Kingston, Tim. I was given a gift voucher.

-Happy birthday.

-How cruel is that?

That's my dad for you. Has he signed in yet?

Kingston...no, not yet.

Think he might have conned you there, son.

Not my dad. He'll be in it to win it.

You're here!

I thought you might try to back out at the last minute.

You need to sign in.

Anthony Kingston.

There you go.

-Do I get any help pinning this on?

-Here.

He spoils all my fun.

Can you sign your medical declaration, please?

I would have been here on time, but some idiot obviously couldn't judge

the distance between themselves and a parked car.

-Are you all right?

-Car came off worse.

Did you report it?

It's your birthday. I let 'em off.

And I wasn't going to miss this, was I?

Come on. This is going to be a birthday to remember.

-Oh.

-You, OK?

Not watching what I was doing.

Fantasising again? About kitchen tiles.

No. I'm just tired. I can't wait for this all to be over.

Working as fast as I can, boss.

-It's really coming along.

-Yeah.

You'll have your big house eventually.

You want to talk to me about the upstairs windows?

I meant to tell you. My measurements were a bit out.

I thought you were going to get the window company

to check before ordering.

They were going to charge a fortune just to come down and re-measure.

I thought it would be easier and cheaper

if we just filled in the gaps. It isn't out by much.

It's enough for rain to be pouring in.

I'm not spending a fortune to end up with a shack.

If you're not happy, just say.

I'm not happy.

Let the try-hards take the lead. They'll soon burn themselves out.

Heavy rain last night means conditions couldn't be any better.

CHEERING

Six miles, three muddy trenches

and five terrifying obstacles to navigate.

CHEERING Bring it on.

Finish on your hands and knees if you have to,

but finish and be proud of what you've achieved.

So, there's only one thing left to say and that's, "Oggy, oggy, oggy."

ALL REPLY: Oi, oi, oi!

Oggy, oggy, oggy.

ALL REPLY: Oi, oi, oi!

-Oggy.

-Oi.

-Oggy.

-Oi.

-Oggy, oggy, oggy.

-Oi, oi, oi.

On your marks, get set, go! Good luck!

-Nutters.

-Thank you.

Dr Hanna, I was going to ask, most patients in my last ED

with proximal femoral fractures had three in one nerve blocks

before they went to the ward.

We don't have any specific guidance on that here.

Would you mind if I draft some guideline

or arrange some teaching on it?

Isn't it protocol to speak to Mrs Beauchamp about that?

She's our clinical lead now.

Thank you, Lily, for making that point so clear.

Do what you think is best, Ethan,

-it is not really my department any more.

-Zoe, great.

Can we start doing some RATing on patients waiting?

Isn't there a registrar available?

I'm happy to do a Rapid Assessment and Treatment.

Well, I applaud your enthusiasm, Lily,

but I need someone with experience and quick decision making.

Plus, it will give you a chance to get back on the floor full-time.

-Dr Hardy.

-Yes. We're supposed to be having our meeting now.

-We are.

It's just I'm in the middle of something with another patient.

OK, I'll come with you. Time and motion.

Lead the way. Thank you.

CHEERING AND SHOUTS

Up you get.

Go, Samantha!

Come on!

Argh!

You all right? Samantha!

My hand slipped.

I'm coming. Hang on.

-Stay still, stay still.

-It's my knee.

Let's have a look. This one, yeah?

Yeah. Argh!

I think you might have popped that.

I think I am going to have to move you

and have a little look up there, I think.

I'll get a quote from another window company.

This project is haemorrhaging enough money as it is

without having to do everything twice.

I don't know where your head's at half the time.

It's just much harder work than I imagined.

Well, you're the one who insisted we hire one of your old mates.

Because I trust him not to rip us off like those other

so-called professional builders we met.

Then how come we're over budget and behind schedule?

We'll get there.

Easy to say when you're not paying for any of it.

Maybe we've been a bit too ambitious.

Maybe we should consider scaling down.

This is our dream. I just want it to be right.

I can't live in tacky rented accommodation much longer.

Then that is why we need Drew to finish it.

Yeah.

Do you think you will be back later for dinner?

You know I can never say until the end of the day.

I might have to take the clients out. Why?

No, it can wait.

Hey, hope you get the contract.

If we don't get it, we can kiss this house goodbye.

You were with that patient for over 18 minutes.

What's your diagnosis?

Given his lifestyle, age, weight,

he could have a whole host of problems.

His bloods should tell me more.

He has polyuria, polydipsia, his BM's way up.

I am waiting on lab glucose, but I think it's Type 2 diabetes.

Dr Hardy, you have the most breaches of the four-hour target

of any doctor in the hospital.

-Right. I'm guessing that's not good?

-No, not in the ED.

If you want to run thousands of tests, become a rheumatologist,

not an ED physician.

-I am hoping that's sarcasm and not a recommendation?

-Correct.

Right. You'll burn yourself out, not to mention my budget.

Work out what you need to do

-and move the patient to the relevant department.

-Next!

No. Thank you, they are all very valid points

-and I will take them on board.

-Good.

-I look forward to fewer breaches in the future.

-Yes.

Come on, guys! Come on!

SHOUTS OF ENCOURAGEMENT

Typical, falling on my face when I'm trying to impress a man.

I think that might be the Entonox talking.

No wedding ring?

No, my wife's away. Peru.

Like that, is it?

No, it's not like anything, it's complicated.

Right. I am just going to stretch this leg out, OK?

Argh!

I think your patella slipped back into place. Is that better?

It is a bit better, but it still hurts.

Right. OK, well, you are going to need to get that checked.

Is there anyone who can take you in? Husband or someone?

I can't leave this event.

It needs looking at. Do you live far?

I'm the landowner.

Right.

What's up, Sherlock?

This patient with the chest infection.

She's young and fit, so I imagine it's just a normal one,

but which pathogen caused it...?

Dr Hardy.

That is not something we will necessarily work out now in the ED.

No. Common things are common.

So, I will send sputum cultures and discharge her with amoxicillin.

You're going to look up chest microbiology in your break,

-aren't you?

-Probably.

What you need, old chap, is brain food.

Ah, no. Thank you.

Lofty?

I have been hearing tales of illicit confectionery.

All for a good cause, Charlie. Saving for a proper summer bash.

All right, just don't get caught.

Think I'd better confiscate this.

-What are you doing? Drew?

-What does it look like?

You shouldn't have offered me the job,

I shouldn't have taken it, all right.

You can't leave the project half finished? Please. Drew, stay.

Why? So you don't have to face being alone with him?

I thought we were friends.

Haven't you ever wanted it to be more?

Leave him. Marnie.

Look, leave this. Come away with me.

Why have you never said any of this before?

I'm saying it now.

-Paul!

-Get away from my wife!

Take it easy, all right. You treat Marnie like dirt.

-Get out.

-Stop it!

-You're done. Get out.

I was going anyway.

And you can stick your job.

Drew!

That's right, go to him.

-You've got this all wrong.

-Have I?

PHONE RINGS

You have five minutes to get off my land.

-I'm fine.

-I'm on my way.

Just give them coffee until I get there.

You're on your own, Marnie.

Come on, Dad, I am starting to get into this.

Are you OK?

Keep going. You'll get in everyone's way.

-I'll give you a hand down.

-I don't need any help from anyone.

-I'm all right.

-Just twist yourself over.

-Just...get off.

-Dad!

Tim! Tim!

Argh!

Tim! Help! Get help.

Marnie. Marnie!

Marnie! Marnie! Talk to me.

Are the rumours true?

About hospital food?

No. Very acceptable.

Wish I could say the same.

I have just found my additional funding has been given to

my old Cardio Thoracic lot.

Welcome to my world.

Is it still your world?

Last thing, you were off on a job interview.

They've agreed to conduct the interview by phone given the circumstances.

And are you still interested?

Fletch was very popular.

I'm not sure how much respect there'd be for me now.

So what, you intend to see out the rest of your contract in here,

then run off?

I am about to make the ED the best it can possibly be

and I need the best with me. That's you.

Thank you. I appreciate that.

But if you're going to let gossip dictate your decisions, then...

well, maybe you should go.

Right. Let me know about the interview.

This is Tim Kingston.

He has fallen from that climb there. He landed awkwardly on his feet.

Pain in the lumbar region, query fractured right ankle, OK?

-It is all yours. I am just going to check on Samantha.

-Tim, I'm Tamzin.

This is Mac. We are going to take you into the ED, all right?

-OK. Check my dad.

-Are you hurt, sir?

No. I'm tough as old boots. Just getting cold, that's all.

You needed help.

Yeah, he probably should've trained harder.

One minute we were keeping up with each other, the next...

-You didn't look right.

-I told him not to climb back up.

-It's too dangerous.

-But, Dad...?

-It's all right, Tim, I'm here.

Did you pass out or faint at all?

Maybe for a second or two.

-OK. Are you on any other medication?

-No.

Let's get him in. I can come with him, can't I?

You've got the car, remember.

Right. I'll gather your things and see you at the hospital.

Unfortunately, I have to stay here.

You really need to go in and get that knee checked out.

I need to see this through.

OK, whoa, whoa, take your time. We'll do it on three.

One, two, three.

HE COUGHS

Marnie.

Drew, Drew.

SHE STRUGGLES

COUGHING

Can I have an ambulance, please?

This is Tim Kingston, 26.

Fell from a height of 8m, landed on his feet.

LOC for a few seconds, possibly spinal injury.

Pain in his lumbar region, fractured right ankle.

GCS is 15, pulse is 90, BP 110/80, sats 98.

No allergies, ten of morphine in IV at the scene.

Right. OK, let's get him over, please.

Ready? In three, two, one.

You are in safe hands now, mate, all right? See you later.

-Thanks, guys.

-Thank you.

Hello, Tim. I'm Dr Hanna and this is Charlie.

We will be looking after you.

Nice deep breath. Where is the pain?

It is in my ankle and pins and needles in my legs.

OK. Airway's clear. Let's have a little look.

Argh!

-How about there?

-Yeah.

I think you've broken the calcaneum. That's your heel bone.

We'll have to do an X-ray to confirm that.

Do you think I've damaged my spine?

I won't know until I have tested your reflexes.

We will have to do a log roll for that,

but I will get a CT scan done just to be on the safe side. Charlie.

How did you faint, Tim?

The pain. But that was after. It didn't happen before, I was fine.

-It's not like my dad said.

-OK. Just try to relax.

He's coming in. Do I have to see him?

Not if you don't want to. No.

I'll fix up the CT and the X-ray. and I'll send Rita straight in.

Stand-by to do this log roll, please.

You know where we are now.

How much is that now?

A grand total of £11.45.

That's at least a bottle of wine for me and you!

This explains a lot.

I've just had an ear bashing from Irene in the coffee shop

about nurses undercutting her prices.

Would you guys know anything about this?

-No.

-Not at all.

-Does Charlie know about this?

-He seemed OK with it.

Probably because he's got more important things to worry about.

Next time I look in this cupboard, I want you and this lot gone.

Let's get this operation upstairs.

Quick.

-Charlie, how's the flow of the department now?

-Better.

Good, good. We have a patient coming in called Samantha Kellman.

She's on the charity committee.

Usually goes private,

so I just thought this would be an opportunity for the NHS to shine.

So, perhaps Dr Ashford or Robyn. Robyn's good with people.

-Yeah.

-Good. Just a suggestion.

Oh, Mrs Kellman.

Jeff called to say you were coming in.

When you recommended him for my event

I never thought I'd end up needing him myself.

No, well, you are in the right place.

Right. Straight through to cubicles.

-Thank you, Charlie. I will see you in a bit.

-OK.

-Dr Knight.

-Hey!

Hey?

Sorry I missed our appointment. I got stuck with a patient.

According to the records, you never get "stuck".

You have the fastest turnover of patients there is.

Thank you very much.

That wasn't a compliment. My office.

Your notes are very sketchy.

"CN 2-12 intact."

That doesn't tell me you've done a full neuro examination.

That was just shorthand. I mean, I always do every step.

If your patient walks out of here and dies,

I would not be able to defend you in a coroner's court.

Be more thorough, Dr Knight. In you go.

-Marnie.

-The ambulance is on its way.

-OK.

I'm so sorry. This is all my fault.

Don't be stupid, don't be stupid.

Hello, ambulance service.

There was a massive bang, I ran in, then half the ceiling came down.

-OK, what's your name, sweetheart?

-Marnie. And that's Drew.

-I think we are going to need another ambulance please, Mac.

-OK.

Marnie, are you in any pain at all?

My arm.

-And I'm pregnant.

-Two, zero, zero, seven to control.

We are going to need a second ambulance at this location, over.

Drew, just try and hold still for me, mate,

we will get you out, all right?

Sam, I reckon most of this has come down,

so if we move some of this stuff we will get a better look at him, yeah?

That patient I told you to discharge, where is she?

She is still here, I am just heading up to pharmacy for her ear drops.

Great. Hold her for now. I just need to run a few more tests.

Oh, hello, yes.

Dr Hanna's requesting a full spinal CT on her patient

Tim Kingston.

-How soon? Great, thanks. I'll let her know.

-Rita, this is...

Anthony Kingston. That's my son you're talking about.

-Can I see him?

-No, he is having tests done at the moment,

-so if you wouldn't mind waiting.

-Yes, I would mind waiting.

-I've got all his things.

-I can take those for you.

I'd really like to see him.

OK, well, I think he wants to see his wife,

so perhaps you wouldn't mind phoning her for us.

Fine. I'll phone her.

Is there somewhere private?

Yes. Louise, would you mind taking Mr Kingston to

-the relatives room for us?

-Sure.

-Thank you.

-Do you know what these pills are?

-Sorry, I'm not a medic,

but the pharmacy upstairs might be able to tell you.

-My son might need them. Would you take me to him?

-Sure, OK.

This will support it until we get in, but it is broken, all right?

Can't you give her something for the pain?

-What about the baby?

-How far along are you?

About seven, eight weeks. I did the test this morning.

What if I've lost it?

I'll check for bleeding when we get in the ambulance.

-Mac, can you get some Entonox for the lady, please.

-Yep. No worries.

What you said. I have been thinking about it lately, but...

Sh, no, you just concentrate on you and the baby now, all right?

What about you?

Don't worry about me, I'll be fine.

-Right, cavalry is here.

-What we got?

This is Marnie, seven to eight weeks pregnant.

This is Drew, multiple fractures right arm

and a deep wound to the right hand.

Marnie, yeah. Dom, can you take Marnie for me, please?

Drew, how are you doing, son?

Yeah, I've been better.

Yeah, I bet you have, mate.

Right, let's get him in, shall we?

You can't leave me alone for five minutes.

Who can't leave who alone?

No, that event was finishing, actually.

Are you two at it again?

There's still got a lot of bruising and swelling,

so we'll attach a splint.

How do you know Connie?

I'm on the Friends of Holby Committee.

We're trying to help raise funds for new equipment.

Something called an ECHO machine.

Someone was hurt today at an assault course I was running.

Tim Kingston? Do you know if he's OK?

I'll see what I can find out for you, Mrs Kellman.

Mrs Kellman? Not for long.

-I'm sorry.

-Don't be, I'm not.

Just means I can do exactly what I want now.

Like turning my property into an assault course.

Oh...

One of your paramedics, Jeff,

was the on-site paramedic today that treated me.

I used to share a house with his nephew.

Oh. Do you know him well?

I guess. Anything in particular you want to know?

No, not now, now I know he is married.

Well, he's not, in the strictest sense of the word.

Oh. Ow!

I'd like to repeat the neurological examination

and test your reflexes again.

-How are your legs now?

-I'm not sure.

Pulse is 60.

I'd still like to do a CT scan to be on the safe side.

-Can you relax your legs?

-I'm too scared to move.

Tim.

-Excuse me, no visitors. Only his wife is allowed in here.

-Sorry.

What are they on about?

They're still doing tests. Is Kate coming?

I was looking for your phone to call her. I found these.

You told the paramedics you weren't on anything.

-That shouldn't affect his treatment.

-What are they?

-They're nothing.

-They're obviously something. Have you been sick?

-No.

What are they for?

-We'll let you know as soon we know.

-I won't have anything kept from me.

Excuse me, Mr Kingston, isn't it?

Do you mind? I'm with my son, he's had an accident.

Of course. I'm sorry to hear that.

How does he know you?

I have no idea.

Didn't sound like it. That thing with your car this morning?

Is there something more to it?

What's with the sudden interest?

I thought you didn't even want me here.

Mr Kingston, why don't you step outside?

Come on. We are doing everything we can to help your son.

I don't know what's come over him. We've always been very close.

Try not to worry.

There are no obvious injuries except for your arm.

We'll get that X-rayed, but because you've got a small amount

of pelvic bleeding, I'm sure you'd like us to do a scan first.

Please.

I just need to put some of this gel onto your abdomen.

It is going to feel a bit cold.

Do try and relax, OK?

You're still early in your pregnancy,

-so it's hard to see things clearly, but we'll give it a go.

-Here we go.

There's the sac. And there's the foetus. Good strong heart-beat.

That's your baby.

This is why I wanted you home tonight, to tell you.

We're having a baby.

I didn't even know you wanted a baby.

Deep breath.

Was my dad here this morning?

You'll have to ask him about that.

My wife's been saying there's something wrong with him for ages.

There was today at the race.

It was me trying to help HIM when I fell.

He made out like it was nothing to do with him.

You two aren't close?

We are, as long as it's on his terms.

Did you say that your counsellor prescribed you anti-depressants?

Yeah. I've been going for a couple of months now.

-And they didn't suggest you talking to your dad?

-I've tried.

I tried to say I didn't want to do that race,

-but look how that turned out.

-Tim.

-I looked up those things you're taking online.

-Can this wait?

Why on earth would you be taking anti-depressants?

-This isn't the time.

-I'll decide that. I'm talking to my son.

Mr Kingston.

If you've got a problem at work or home, you can talk to me, can't you?

You ARE the problem, Dad.

If you would like to wait in the relatives room, please. Thank you.

Your humerus is definitely fractured, but not displaced,

so we'll go for a non-operative treatment.

Robyn will fit a collar and cuff,

that should keep everything in place for two to three weeks.

We'll get you an outpatient's appointment for mobilisation

and assisted exercise after that.

What about the baby?

We'll move you to a cubicle so we can monitor you

and do another scan in an hour or so.

The other good news is that your friend is on his way in.

Is he OK?

I haven't got the details, but he should be here soon.

I knew I'd regret hiring that cowboy.

None of this is his fault. You've done nothing but criticise him.

And you wonder why.

I didn't know he felt the way he did.

You can't be that stupid. I'm certainly not.

-Mr Roscoe, Marnie really needs her rest.

-Is it his baby?

Get out, Paul.

-Is it?

-I said get out!

That answers my question.

SIREN BLARES

Didn't they get a survey done on that house?

-Doesn't matter. He'll blame me.

-Who?

Paul. Marnie's husband.

She met him when she went away to uni.

He ticked all the right boxes.

Should have gone myself as well, but Mum and Dad couldn't afford it.

Paying my own way now though.

That is one of the reasons I needed the work.

What are you studying?

Architecture.

You find any other building work?

Marnie asked me to do them a favour.

I could never say no to her. We've always had a connection.

Never work for friends, eh?

At least I got to tell her how I felt.

Make yourself at home.

I'm waiting for a patient's results and I thought I would come

and visit my favourite invalid.

-How are you?

-Not bad.

Well, you're not missing much downstairs.

Connie's already obsessing about budgets and targets,

and apparently she's got Martin fawning over some fund-raising socialite.

Have you just come to off-load about Connie?

No, I just thought you'd want to know what the goss is.

Aren't I top of the list?

There is no way I could ever have any authority in the ED now.

If you ask me, authority is overrated, Tess.

And anyway, they're your friends.

I'm not sure you can be a friend as well as a leader.

What does that mean?

Is that what you said to Fletch?

That's not fair.

I know, sorry, but I supported you through all of that.

Which I'm grateful for.

But it didn't get either of us very far, did it?

You certainly wouldn't have got away with it under the Iron Lady's rule.

No.

And it's a mistake I'll never make again.

Zoe, you never really wanted the role.

And you chose to step down.

Maybe Connie shaking things up a bit is a good thing.

You're right.

I did choose to step down. And she's welcome to it.

Good to see you're on the mend.

Mrs Beauchamp says she'll meet you back down here.

-Can I get you a coffee?

-I'm fine, thanks.

Hi, Charlie. Drew Whitmore, 28 years old.

Crush injuries from a falling roof.

Not KO'd. GCS is 15 throughout.

Query multiple fractures to his right hand

and he has got an extensive de-gloving injury.

-You've got a lot to answer for.

-What?

-I want that climb checked.

The assault course was checked for safety.

My son might never walk again.

I'm going to have that place of yours closed down.

Whoa, whoa, whoa, calm down, I was there.

Accidents happen, especially at an event like that.

-You know the risks when you sign up.

-Nobody's asking you.

Mr Kingston? What's going on?

This is the woman responsible for Tim's accident.

She organised the event Tim and I did today.

Sorry, an event?

I advised you this morning not to do anything strenuous?

Did you sign a medical disclaimer form first?

That's right. Close ranks. Typical.

Dad, what are you shouting for?

Was he here earlier, Ethan?

He left early before I could get any blood tests.

All I wanted today was to spend some time with my family.

You shouldn't have let him go.

But you try to control everything and take me away.

That wasn't my intention.

Wasn't it? I might be paralysed and you still can't be honest.

Mr Kingston, that is enough. We can't discuss this here.

Let's go outside for a breath of fresh air, come on.

Listen, I am so sorry.

-You all right?

-Yeah.

Look, we'll sort it out, OK? Don't worry.

That wound's heavily contaminated.

Let's irrigate that and give him 250 of Humotet.

We'll get the plastic surgery consultant

to come and have a look at your hand,

but more than likely you will be going straight to theatre.

Who's this?

This is Marnie. She was in the same accident.

She came in earlier.

It's fine. It's OK.

Marnie, your baby?

Everything's fine.

Everything?

You and... You and Paul will need that big house...

-..and a new builder.

-No. Don't say that.

Be honest, Marnie. You either want to save your marriage or not.

But I can't hang around wondering.

We probably don't need an audience when I start irrigating his wounds.

Yeah. Thanks, Robyn.

Look after him.

Thank you. I appreciate you agreeing to interview me like this.

Yes, it does us good once in a while

to see things from the patient's perspective.

Right. Yes, well, I'm sure the role would offer me

the same career progression and challenges as Holby has.

I saw your notes from earlier on this morning.

I had a bit of turn in the car. Clipped a tree.

That doctor wanted me to have all these tests,

but it was Tim's birthday. You know, it's a bit of a tradition.

Still, your health is far more important, you should have stayed.

Have you had any other symptoms?

I tried to ignore them. Battle on.

-He is going to be all right, isn't he?

-We'll know soon.

But try and stay calm, getting angry doesn't help anyone.

Thank you.

Um...

Is that woman still here?

-From the event?

-I think you might've scared her off.

I think I owe her an apology.

How is your son?

I think I owe him an apology, too.

Whoa, whoa, whoa! Mr Kingston!

Jeff! Jeff, what happened?

I don't know, I was talking to him a second ago.

-He has arrested. Tamzin!

-Coming, Jeff!

Tamzin, come on, mate, I need some help. Quick as you can, please.

-OK. Can you get Ethan? It's his patient.

-Come on, son.

Complicated, huh?

Maybe I did know, deep down.

Affairs never really solve anything though, do they?

I didn't act on it. It isn't Drew's baby.

Maybe not.

But you've been trying to work out your feelings for him all along.

That's why you wanted him to do the work.

Can you give us a minute?

Yeah, sure.

The house, everything, it was for you.

My dreams were never as big as yours.

Then you made the wrong choice from the start.

It didn't feel like it then.

I think we've both changed.

We can go back to the way we were.

I'll take you home from here,

we'll forget everything that's happened.

We both know that won't work.

So what happens now?

You go off with him.

Let him be a father to our child?

I won't stop you being part of your child's life.

But you don't want me to be part of yours?

I'm sorry.

I'm sorry, Tim, I think Dr Hanna has been delayed.

-Just tell me.

-Course.

OK, it's good news.

You've got what they call a tiny spinous process fracture

on your L2, that is your lower back.

But there's no neurological damage.

I really thought I was never going to walk again.

We are going to keep you in overnight for observation

and with physio's help we will gradually get you moving again, OK?

You'll have some follow-ups with orthopaedics.

-You're going to be fine.

-Thanks.

Sorry to interrupt. I need to have a word with you about your dad.

I just want to see my wife and son.

Right. Well, I'm afraid your dad has collapsed in the car park.

What's going on? What's happened? Is he all right?

Anything, Ethan?

No. He's in VF. OK, all clear, please.

Charging.

Shocking.

No.

This could so have been avoided.

Well, that's why we do what we do.

Any information on Drew?

Hand's quite bad actually. Shame, he was training to be an architect?

I never knew.

Then again, I didn't know a lot of things.

Well, that surprises me. All he could talk about earlier was you.

I wish it was that simple.

-Well, it is. Sometimes simple's good.

-Yeah.

So is being fair.

The hand surgeon seems very confident about the prognosis.

That's really positive news.

I didn't know you were still here.

How is your hand?

Looks like the nerves and tendons might be OK,

but we'll know more after theatre.

I'll just write him up some fluids and then get him to the ward.

Where's Paul?

Gone.

Drew.

I have to put my baby first.

Yeah.

But you're still going to need friends, aren't you?

Knowing you has always got me into trouble.

He's got widespread ST elevation.

The cardiology consultant is just setting up the cath lab,

should be along in a few minutes.

Impressive. Shocked out of VF and alert again. Very good.

What about ITU, medics?

Yeah, they're both on their way.

Right, Tim's on the mend.

No more running out on Dr Hardy this time, OK?

While we're waiting, Dr Hardy, excuse me.

Ten years ago, CT scans in the ED were unheard of.

If I get my way, you'll be trained in ECHO

and a lot more besides.

Right. Hit the targets, you get the rewards.

Thank you.

It's all right, don't be shy.

You just need to move that up there, there you go.

I'm not sure it's the blocked vessel I am seeing.

The cardiologist will work that out when he does the angiogram.

You just have to diagnose that there's a myocardial infarction.

What you're seeing here is the large area of hypokinesia of

the left ventricular wall.

That's why he needs the stent straightaway.

-Right.

-OK, good.

-He's in his element.

-Mm.

-I hired a few good ones in my time.

-Yeah, you did.

They're ready in the cath lab.

-Are you all right?

-I will be.

Tim, I'm sorry.

I caused the accident.

I've been a useless father.

It doesn't mean I want to lose you, Dad.

I could do you two for one.

I don't want a packet full of fat and sugar.

The NHS is spending millions trying to fight obesity

and you're adding to the problem.

I thought I warned you two guys.

Oh, right, Ash, yes,

some of us are just trying to make a bit of extra money for a new...

-A new ECHO machine.

-ECHO machine?

Or ECG, or whatever we need.

By selling a few packets of sweets?

There are strict rules about trading on NHS premises. But...

if you are serious about fundraising let me know

and I'll put it to the Trust.

Thank you, Mrs Beauchamp.

Mrs Kellman's taxi's here, by the way.

The nurses just got very lucky with Connie.

Really? Can't say I've noticed.

Too busy chasing my tail all day.

Your team did a really good job.

Oh, thank you, and I'll see you at the next committee meeting.

-Yes.

-All right, take care.

Samantha, sorry. Listen, you shouldn't have any more fallout,

you know, from Tim's accident.

But if you do, just let me know.

OK. Thanks for wading in and being my knight in shining armour.

Hardly.

Robyn, my nurse, told me about your situation.

Just wondered, you know, whether we might be able to go for a coffee

or something when I come back for my orthopaedics appointment.

We're not really supposed to, you know...

OK, that's fine. Well, suppose it's goodbye then.

Yeah, you take care.

Professional to the bitter end, eh, Jeff?

-Yes, well, you know how it is.

-So, pub then?

Hey, don't worry about it.

There is going to be loads of single girls at my wedding

waiting to dance with a hot single guy like you.

Can you help us out? Ta.

Technically, she's not a patient any more.

So, Mrs Beauchamp let me do an ECHO on the guy

who collapsed in the car park.

Wow, that is impressive.

Oh, give your brother his moment of glory for once.

Well done.

GP notes and letters to write up before you go, guys.

-Connie?

-Yeah.

-About these staff reviews...

Disrupting the ED, I know. I'm going to do them once a month.

-The team are a bit worried about job cuts.

-Whatever gave them that idea?

No, I think there have been enough changes

-around here for the time being.

-Good, they'll be relieved to hear that.

No rush to tell them, is there?

Finally called a truce, have you?

I am not that petty...any more.

Good, cos I don't think it's personal with Connie.

She's just ambitious and far less fun than you,

-to say nothing of the fact that I...

-Stop now.

What you doing, Rita?

I'm filling out my application form for Fletch's job.

But I feel like I'm walking on his grave.

Firstly, he's not dead.

And secondly, it's not his job any more.

But it could be yours. Go on, press send.

MOUSE BUTTON CLICKS

Breaking the rules so early, Mr Collier?

I thought you weren't supposed to fraternise with the patients?

So, what were you thinking?

That "everyone should attempt something out of their comfort zone

-"at least once a week," right?

-Right.

Well, I'm well out of mine, believe me.

Come in.

I was hoping you were going to say that.

You wanted to hear about the interview?

Yes, come in, sit down.

They offered me the job.

Right. Well, I'm very sorry to hear that.

But I turned it down.

I want to keep a very tight hold on the reins here, Tess.

That's just what this place needs.

Welcome back.