In the Name of Love Casualty


In the Name of Love

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Transcript


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The woman was sleeping with my husband

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I know.

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-ALL:

-To Fletch.

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Does that mean you are team leader then? Yes.

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

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

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You know there is this shorthand between us.

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We connect, don't we?

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We are on the same wavelength.

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

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I am afraid I have to be somewhere.

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The blood test will only take five minutes.

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-Are you on a commission or something?

-OK.

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

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

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-Yes, understood.

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

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

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I will be sure to do that.

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Morning.

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Would you leave some space between our arrivals!

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

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

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

-Mere mortal.

-Yes.

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There is nobody on that phone is there?

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

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Mrs Beauchamp, you wanted to see me?

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Yes, Lily. Come in, shut the door.

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-I see you found the goods, then?

-Yeah. Where were you this morning?

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I thought you were supposed to be helping us.

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

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I've been asked to see Mrs Beauchamp.

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Oh, that sounds ominous.

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Ignore him. She's asking to see everybody.

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

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Well, somebody's certainly hit the ground running.

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Sounds like Dixie is having a wonderful time in Peru.

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

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ON PHONE: You've read my postcard then?

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-I thought it was for all of us.

-What is he doing skiving anyway?

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

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Standing in the middle of nowhere

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

-You what?

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

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covering a private event for the Trust.

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Oh, get you.

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Need to earn a bit of extra cash to keep Tamzin

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

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

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Samantha Kellman.

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

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It's all right. Medical declarations.

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Ah, right, OK.

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

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assault course. Mad, isn't it?

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

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

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Everyone should attempt something out of their comfort zone

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at least once a week.

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

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You sure are.

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

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Great. Look forward to that.

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And in that way we can maximise your clinical experience

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in the department.

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

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

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No, thank you. That was very informative.

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

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Thank you.

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You can always trust Lily to be chasing that

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employee of the year award.

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I'm hoping to hold weekly meetings with all medical

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and senior nursing staff.

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If they've got the time.

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

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-Charlie.

-Sorry.

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

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but I'm two key members of staff down.

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Fletch's job has only just been advertised.

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

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

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

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Do you know if that's still the case?

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

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HR should get that sorted pronto.

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-I am actually going on holiday myself soon.

-Anywhere nice?

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

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While you are here.

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

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-as being at 92%.

-Not bad.

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We were rated seventh in your last week

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in comparison to other hospitals, so...

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

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

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96 or 97% would be better. Thank you.

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

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It's her ship now.

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Tess?

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Kingston, Tim. I was given a gift voucher.

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-Happy birthday.

-How cruel is that?

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

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Kingston...no, not yet.

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Think he might have conned you there, son.

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

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You're here!

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

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You need to sign in.

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Anthony Kingston.

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There you go.

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-Do I get any help pinning this on?

-Here.

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He spoils all my fun.

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Can you sign your medical declaration, please?

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

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the distance between themselves and a parked car.

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-Are you all right?

-Car came off worse.

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Did you report it?

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

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

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

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-Oh.

-You, OK?

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Not watching what I was doing.

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Fantasising again? About kitchen tiles.

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

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Working as fast as I can, boss.

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-It's really coming along.

-Yeah.

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You'll have your big house eventually.

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You want to talk to me about the upstairs windows?

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

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I thought you were going to get the window company

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to check before ordering.

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

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I thought it would be easier and cheaper

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

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It's enough for rain to be pouring in.

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

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If you're not happy, just say.

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I'm not happy.

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

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

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CHEERING

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Six miles, three muddy trenches

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and five terrifying obstacles to navigate.

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CHEERING Bring it on.

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Finish on your hands and knees if you have to,

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

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

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ALL REPLY: Oi, oi, oi!

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Oggy, oggy, oggy.

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ALL REPLY: Oi, oi, oi!

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-Oggy.

-Oi.

-Oggy.

-Oi.

-Oggy, oggy, oggy.

-Oi, oi, oi.

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

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-Nutters.

-Thank you.

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

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with proximal femoral fractures had three in one nerve blocks

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before they went to the ward.

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

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Would you mind if I draft some guideline

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or arrange some teaching on it?

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

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She's our clinical lead now.

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

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Do what you think is best, Ethan,

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-it is not really my department any more.

-Zoe, great.

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Can we start doing some RATing on patients waiting?

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Isn't there a registrar available?

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

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Well, I applaud your enthusiasm, Lily,

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but I need someone with experience and quick decision making.

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

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-Dr Hardy.

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

-We are.

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

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

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Lead the way. Thank you.

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CHEERING AND SHOUTS

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Up you get.

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Go, Samantha!

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Come on!

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Argh!

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You all right? Samantha!

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My hand slipped.

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I'm coming. Hang on.

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-Stay still, stay still.

-It's my knee.

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

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Yeah. Argh!

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I think you might have popped that.

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I think I am going to have to move you

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and have a little look up there, I think.

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I'll get a quote from another window company.

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This project is haemorrhaging enough money as it is

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without having to do everything twice.

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

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It's just much harder work than I imagined.

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

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

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so-called professional builders we met.

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

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We'll get there.

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

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Maybe we've been a bit too ambitious.

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Maybe we should consider scaling down.

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

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

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Then that is why we need Drew to finish it.

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Yeah.

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Do you think you will be back later for dinner?

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

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I might have to take the clients out. Why?

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No, it can wait.

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Hey, hope you get the contract.

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

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You were with that patient for over 18 minutes.

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What's your diagnosis?

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Given his lifestyle, age, weight,

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he could have a whole host of problems.

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His bloods should tell me more.

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

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

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

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of any doctor in the hospital.

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

-No, not in the ED.

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

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not an ED physician.

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

-Correct.

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

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Work out what you need to do

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-and move the patient to the relevant department.

-Next!

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No. Thank you, they are all very valid points

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-and I will take them on board.

-Good.

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-I look forward to fewer breaches in the future.

-Yes.

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Come on, guys! Come on!

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SHOUTS OF ENCOURAGEMENT

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

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I think that might be the Entonox talking.

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No wedding ring?

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No, my wife's away. Peru.

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Like that, is it?

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

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

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Argh!

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

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It is a bit better, but it still hurts.

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

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

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I can't leave this event.

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It needs looking at. Do you live far?

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I'm the landowner.

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Right.

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What's up, Sherlock?

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This patient with the chest infection.

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

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but which pathogen caused it...?

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Dr Hardy.

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

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No. Common things are common.

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

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

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-aren't you?

-Probably.

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What you need, old chap, is brain food.

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Ah, no. Thank you.

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Lofty?

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I have been hearing tales of illicit confectionery.

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

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All right, just don't get caught.

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Think I'd better confiscate this.

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-What are you doing? Drew?

-What does it look like?

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You shouldn't have offered me the job,

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I shouldn't have taken it, all right.

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

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

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I thought we were friends.

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Haven't you ever wanted it to be more?

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Leave him. Marnie.

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Look, leave this. Come away with me.

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Why have you never said any of this before?

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I'm saying it now.

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-Paul!

-Get away from my wife!

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

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-Get out.

-Stop it!

-You're done. Get out.

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I was going anyway.

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And you can stick your job.

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Drew!

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That's right, go to him.

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-You've got this all wrong.

-Have I?

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PHONE RINGS

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You have five minutes to get off my land.

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-I'm fine.

-I'm on my way.

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Just give them coffee until I get there.

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You're on your own, Marnie.

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

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Are you OK?

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

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-I'll give you a hand down.

-I don't need any help from anyone.

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-I'm all right.

-Just twist yourself over.

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-Just...get off.

-Dad!

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Tim! Tim!

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Argh!

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Tim! Help! Get help.

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Marnie. Marnie!

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Marnie! Marnie! Talk to me.

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Are the rumours true?

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About hospital food?

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No. Very acceptable.

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Wish I could say the same.

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I have just found my additional funding has been given to

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my old Cardio Thoracic lot.

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Welcome to my world.

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Is it still your world?

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Last thing, you were off on a job interview.

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

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And are you still interested?

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Fletch was very popular.

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

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

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then run off?

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

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

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Thank you. I appreciate that.

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

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well, maybe you should go.

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Right. Let me know about the interview.

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This is Tim Kingston.

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

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

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

-Tim, I'm Tamzin.

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

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-OK. Check my dad.

-Are you hurt, sir?

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

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You needed help.

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Yeah, he probably should've trained harder.

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

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-You didn't look right.

-I told him not to climb back up.

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-It's too dangerous.

-But, Dad...?

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

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Did you pass out or faint at all?

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Maybe for a second or two.

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-OK. Are you on any other medication?

-No.

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

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You've got the car, remember.

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

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Unfortunately, I have to stay here.

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

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I need to see this through.

0:19:360:19:38

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

0:19:380:19:41

One, two, three.

0:19:410:19:42

HE COUGHS

0:19:520:19:53

Marnie.

0:19:580:20:00

Drew, Drew.

0:20:000:20:03

SHE STRUGGLES

0:20:060:20:07

COUGHING

0:20:110:20:14

Can I have an ambulance, please?

0:20:180:20:20

This is Tim Kingston, 26.

0:20:200:20:22

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

0:20:220:20:24

LOC for a few seconds, possibly spinal injury.

0:20:240:20:26

Pain in his lumbar region, fractured right ankle.

0:20:260:20:30

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

0:20:300:20:34

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

0:20:340:20:38

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

0:20:380:20:41

Ready? In three, two, one.

0:20:410:20:44

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

0:20:440:20:47

-Thanks, guys.

-Thank you.

0:20:470:20:49

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

0:20:490:20:52

We will be looking after you.

0:20:520:20:53

Nice deep breath. Where is the pain?

0:20:530:20:56

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

0:20:560:20:59

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

0:20:590:21:02

Argh!

0:21:090:21:10

-How about there?

-Yeah.

0:21:110:21:13

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

0:21:130:21:17

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

0:21:170:21:20

Do you think I've damaged my spine?

0:21:200:21:21

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

0:21:210:21:24

We will have to do a log roll for that,

0:21:240:21:26

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

0:21:260:21:29

How did you faint, Tim?

0:21:290:21:31

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

0:21:310:21:35

-It's not like my dad said.

-OK. Just try to relax.

0:21:350:21:38

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

0:21:380:21:40

Not if you don't want to. No.

0:21:400:21:42

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

0:21:420:21:45

Stand-by to do this log roll, please.

0:21:450:21:47

You know where we are now.

0:21:470:21:49

How much is that now?

0:21:540:21:55

A grand total of £11.45.

0:21:550:21:58

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

0:21:580:22:00

This explains a lot.

0:22:040:22:06

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

0:22:060:22:09

about nurses undercutting her prices.

0:22:090:22:11

Would you guys know anything about this?

0:22:110:22:13

-No.

-Not at all.

0:22:130:22:15

-Does Charlie know about this?

-He seemed OK with it.

0:22:150:22:18

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

0:22:180:22:21

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

0:22:230:22:26

Let's get this operation upstairs.

0:22:290:22:31

Quick.

0:22:310:22:32

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

-Better.

0:22:340:22:38

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

0:22:380:22:41

She's on the charity committee.

0:22:410:22:44

Usually goes private,

0:22:440:22:45

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

0:22:450:22:49

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

0:22:490:22:53

-Yeah.

-Good. Just a suggestion.

0:22:530:22:56

Oh, Mrs Kellman.

0:22:560:22:57

Jeff called to say you were coming in.

0:22:570:22:59

When you recommended him for my event

0:22:590:23:01

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

0:23:010:23:03

No, well, you are in the right place.

0:23:030:23:05

Right. Straight through to cubicles.

0:23:050:23:07

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

-OK.

0:23:070:23:09

-Dr Knight.

-Hey!

0:23:110:23:14

Hey?

0:23:140:23:16

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

0:23:160:23:19

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

0:23:190:23:21

You have the fastest turnover of patients there is.

0:23:210:23:24

Thank you very much.

0:23:240:23:26

That wasn't a compliment. My office.

0:23:260:23:28

Your notes are very sketchy.

0:23:280:23:31

"CN 2-12 intact."

0:23:310:23:33

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

0:23:330:23:36

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

0:23:360:23:39

If your patient walks out of here and dies,

0:23:390:23:41

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

0:23:410:23:43

Be more thorough, Dr Knight. In you go.

0:23:430:23:45

-Marnie.

-The ambulance is on its way.

-OK.

0:23:480:23:50

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

0:23:510:23:53

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

0:23:530:23:56

Hello, ambulance service.

0:23:560:23:58

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

0:23:580:24:03

-OK, what's your name, sweetheart?

-Marnie. And that's Drew.

0:24:040:24:07

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

-OK.

0:24:070:24:11

Marnie, are you in any pain at all?

0:24:110:24:13

My arm.

0:24:130:24:14

-And I'm pregnant.

-Two, zero, zero, seven to control.

0:24:140:24:17

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

0:24:170:24:20

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

0:24:200:24:22

we will get you out, all right?

0:24:220:24:23

Sam, I reckon most of this has come down,

0:24:230:24:25

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

0:24:250:24:29

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

0:24:310:24:33

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

0:24:330:24:36

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

0:24:360:24:40

Oh, hello, yes.

0:24:400:24:42

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

0:24:420:24:46

Tim Kingston.

0:24:460:24:47

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

-Rita, this is...

0:24:470:24:51

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

0:24:510:24:53

-Can I see him?

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

0:24:530:24:56

-so if you wouldn't mind waiting.

-Yes, I would mind waiting.

0:24:560:24:58

-I've got all his things.

-I can take those for you.

0:24:580:25:01

I'd really like to see him.

0:25:010:25:02

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

0:25:020:25:04

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

0:25:040:25:07

Fine. I'll phone her.

0:25:080:25:10

Is there somewhere private?

0:25:110:25:13

Yes. Louise, would you mind taking Mr Kingston to

0:25:130:25:15

-the relatives room for us?

-Sure.

-Thank you.

0:25:150:25:18

-Do you know what these pills are?

-Sorry, I'm not a medic,

0:25:210:25:24

but the pharmacy upstairs might be able to tell you.

0:25:240:25:26

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

-Sure, OK.

0:25:260:25:30

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

0:25:320:25:35

Can't you give her something for the pain?

0:25:350:25:37

-What about the baby?

-How far along are you?

0:25:370:25:39

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

0:25:390:25:44

What if I've lost it?

0:25:440:25:45

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

0:25:450:25:48

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

-Yep. No worries.

0:25:480:25:51

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

0:25:550:25:59

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

0:25:590:26:03

What about you?

0:26:050:26:07

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

0:26:070:26:09

-Right, cavalry is here.

-What we got?

0:26:090:26:11

This is Marnie, seven to eight weeks pregnant.

0:26:110:26:14

This is Drew, multiple fractures right arm

0:26:140:26:16

and a deep wound to the right hand.

0:26:160:26:17

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

0:26:170:26:20

Drew, how are you doing, son?

0:26:200:26:22

Yeah, I've been better.

0:26:220:26:23

Yeah, I bet you have, mate.

0:26:230:26:25

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

0:26:250:26:27

You can't leave me alone for five minutes.

0:26:280:26:30

Who can't leave who alone?

0:26:300:26:32

No, that event was finishing, actually.

0:26:320:26:33

Are you two at it again?

0:26:330:26:35

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

0:26:360:26:38

so we'll attach a splint.

0:26:380:26:40

How do you know Connie?

0:26:400:26:42

I'm on the Friends of Holby Committee.

0:26:420:26:44

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

0:26:440:26:46

Something called an ECHO machine.

0:26:460:26:48

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

0:26:500:26:53

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

0:26:530:26:55

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

0:26:550:26:57

Mrs Kellman? Not for long.

0:26:590:27:03

-I'm sorry.

-Don't be, I'm not.

0:27:030:27:05

Just means I can do exactly what I want now.

0:27:050:27:08

Like turning my property into an assault course.

0:27:080:27:10

Oh...

0:27:110:27:13

One of your paramedics, Jeff,

0:27:130:27:16

was the on-site paramedic today that treated me.

0:27:160:27:19

I used to share a house with his nephew.

0:27:190:27:21

Oh. Do you know him well?

0:27:210:27:22

I guess. Anything in particular you want to know?

0:27:230:27:26

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

0:27:260:27:29

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

0:27:300:27:34

Oh. Ow!

0:27:340:27:36

I'd like to repeat the neurological examination

0:27:360:27:39

and test your reflexes again.

0:27:390:27:41

-How are your legs now?

-I'm not sure.

0:27:410:27:43

Pulse is 60.

0:27:430:27:45

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

0:27:450:27:47

-Can you relax your legs?

-I'm too scared to move.

0:27:470:27:50

Tim.

0:27:510:27:52

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

-Sorry.

0:27:520:27:55

What are they on about?

0:27:550:27:57

They're still doing tests. Is Kate coming?

0:27:570:27:59

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

0:27:590:28:02

You told the paramedics you weren't on anything.

0:28:020:28:04

-That shouldn't affect his treatment.

-What are they?

0:28:040:28:07

-They're nothing.

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

-No.

0:28:070:28:10

What are they for?

0:28:100:28:11

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

-I won't have anything kept from me.

0:28:110:28:14

Excuse me, Mr Kingston, isn't it?

0:28:140:28:16

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

0:28:160:28:19

Of course. I'm sorry to hear that.

0:28:190:28:20

How does he know you?

0:28:240:28:26

I have no idea.

0:28:260:28:27

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

0:28:270:28:30

Is there something more to it?

0:28:300:28:32

What's with the sudden interest?

0:28:320:28:34

I thought you didn't even want me here.

0:28:340:28:36

Mr Kingston, why don't you step outside?

0:28:360:28:38

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

0:28:380:28:40

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

0:28:400:28:43

Try not to worry.

0:28:430:28:44

There are no obvious injuries except for your arm.

0:28:460:28:49

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

0:28:490:28:52

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

0:28:520:28:55

Please.

0:28:550:28:56

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

0:28:560:28:58

It is going to feel a bit cold.

0:28:580:29:01

Do try and relax, OK?

0:29:010:29:02

You're still early in your pregnancy,

0:29:020:29:04

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

-Here we go.

0:29:040:29:08

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

0:29:150:29:20

That's your baby.

0:29:220:29:23

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

0:29:290:29:32

We're having a baby.

0:29:320:29:33

I didn't even know you wanted a baby.

0:29:360:29:38

Deep breath.

0:29:450:29:46

Was my dad here this morning?

0:29:480:29:50

You'll have to ask him about that.

0:29:500:29:52

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

0:29:520:29:55

There was today at the race.

0:29:550:29:57

It was me trying to help HIM when I fell.

0:29:570:29:59

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

0:30:000:30:02

You two aren't close?

0:30:020:30:05

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

0:30:050:30:07

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

0:30:070:30:10

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

0:30:100:30:13

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

-I've tried.

0:30:130:30:15

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

0:30:150:30:17

-but look how that turned out.

-Tim.

0:30:170:30:19

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

-Can this wait?

0:30:190:30:21

Why on earth would you be taking anti-depressants?

0:30:210:30:24

-This isn't the time.

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

0:30:240:30:26

Mr Kingston.

0:30:260:30:27

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

0:30:270:30:30

You ARE the problem, Dad.

0:30:300:30:32

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

0:30:330:30:37

Your humerus is definitely fractured, but not displaced,

0:30:410:30:43

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

0:30:430:30:46

Robyn will fit a collar and cuff,

0:30:460:30:48

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

0:30:480:30:51

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

0:30:510:30:54

and assisted exercise after that.

0:30:540:30:56

What about the baby?

0:30:560:30:58

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

0:30:580:31:00

and do another scan in an hour or so.

0:31:000:31:02

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

0:31:020:31:05

Is he OK?

0:31:050:31:07

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

0:31:070:31:10

I knew I'd regret hiring that cowboy.

0:31:170:31:19

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

0:31:200:31:23

And you wonder why.

0:31:230:31:25

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

0:31:250:31:27

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

0:31:270:31:29

-Mr Roscoe, Marnie really needs her rest.

-Is it his baby?

0:31:290:31:32

Get out, Paul.

0:31:350:31:37

-Is it?

-I said get out!

0:31:370:31:39

That answers my question.

0:31:410:31:42

SIREN BLARES

0:31:470:31:50

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

0:31:500:31:53

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

-Who?

0:31:530:31:56

Paul. Marnie's husband.

0:31:560:31:58

She met him when she went away to uni.

0:31:590:32:02

He ticked all the right boxes.

0:32:020:32:04

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

0:32:050:32:08

Paying my own way now though.

0:32:090:32:11

That is one of the reasons I needed the work.

0:32:110:32:13

What are you studying?

0:32:130:32:15

Architecture.

0:32:160:32:17

You find any other building work?

0:32:190:32:22

Marnie asked me to do them a favour.

0:32:220:32:25

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

0:32:260:32:31

Never work for friends, eh?

0:32:320:32:34

At least I got to tell her how I felt.

0:32:350:32:38

Make yourself at home.

0:32:440:32:45

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

0:32:450:32:48

and visit my favourite invalid.

0:32:480:32:50

-How are you?

-Not bad.

0:32:500:32:53

Well, you're not missing much downstairs.

0:32:530:32:55

Connie's already obsessing about budgets and targets,

0:32:550:32:58

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

0:32:580:33:03

Have you just come to off-load about Connie?

0:33:030:33:05

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

0:33:050:33:07

Aren't I top of the list?

0:33:070:33:09

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

0:33:090:33:12

If you ask me, authority is overrated, Tess.

0:33:140:33:17

And anyway, they're your friends.

0:33:170:33:19

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

0:33:190:33:22

What does that mean?

0:33:220:33:24

Is that what you said to Fletch?

0:33:240:33:27

That's not fair.

0:33:270:33:28

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

0:33:280:33:31

Which I'm grateful for.

0:33:310:33:33

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

0:33:330:33:35

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

0:33:360:33:40

No.

0:33:410:33:43

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

0:33:430:33:45

Zoe, you never really wanted the role.

0:33:470:33:49

And you chose to step down.

0:33:490:33:50

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

0:33:500:33:53

You're right.

0:33:550:33:57

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

0:33:570:34:00

Good to see you're on the mend.

0:34:010:34:03

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

0:34:040:34:07

-Can I get you a coffee?

-I'm fine, thanks.

0:34:070:34:09

Hi, Charlie. Drew Whitmore, 28 years old.

0:34:090:34:11

Crush injuries from a falling roof.

0:34:110:34:13

Not KO'd. GCS is 15 throughout.

0:34:130:34:15

Query multiple fractures to his right hand

0:34:150:34:17

and he has got an extensive de-gloving injury.

0:34:170:34:19

-You've got a lot to answer for.

-What?

-I want that climb checked.

0:34:220:34:25

The assault course was checked for safety.

0:34:250:34:27

My son might never walk again.

0:34:270:34:28

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

0:34:280:34:30

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

0:34:300:34:32

Accidents happen, especially at an event like that.

0:34:320:34:35

-You know the risks when you sign up.

-Nobody's asking you.

0:34:350:34:37

Mr Kingston? What's going on?

0:34:370:34:39

This is the woman responsible for Tim's accident.

0:34:390:34:41

She organised the event Tim and I did today.

0:34:410:34:43

Sorry, an event?

0:34:430:34:44

I advised you this morning not to do anything strenuous?

0:34:440:34:47

Did you sign a medical disclaimer form first?

0:34:470:34:49

That's right. Close ranks. Typical.

0:34:490:34:53

Dad, what are you shouting for?

0:34:530:34:55

Was he here earlier, Ethan?

0:34:550:34:56

He left early before I could get any blood tests.

0:34:560:34:58

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

0:34:580:35:01

You shouldn't have let him go.

0:35:010:35:02

But you try to control everything and take me away.

0:35:020:35:04

That wasn't my intention.

0:35:040:35:06

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

0:35:060:35:09

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

0:35:090:35:11

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

0:35:110:35:13

Listen, I am so sorry.

0:35:190:35:21

-You all right?

-Yeah.

0:35:210:35:24

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

0:35:240:35:26

That wound's heavily contaminated.

0:35:280:35:30

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

0:35:300:35:32

We'll get the plastic surgery consultant

0:35:320:35:34

to come and have a look at your hand,

0:35:340:35:37

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

0:35:370:35:39

Who's this?

0:35:390:35:42

This is Marnie. She was in the same accident.

0:35:420:35:44

She came in earlier.

0:35:440:35:46

It's fine. It's OK.

0:35:470:35:49

Marnie, your baby?

0:35:490:35:51

Everything's fine.

0:35:510:35:53

Everything?

0:35:530:35:54

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

0:35:560:36:00

-..and a new builder.

-No. Don't say that.

0:36:010:36:04

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

0:36:040:36:07

But I can't hang around wondering.

0:36:070:36:09

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

0:36:110:36:14

Yeah. Thanks, Robyn.

0:36:140:36:18

Look after him.

0:36:220:36:23

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

0:36:230:36:26

Yes, it does us good once in a while

0:36:280:36:30

to see things from the patient's perspective.

0:36:300:36:33

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

0:36:370:36:39

the same career progression and challenges as Holby has.

0:36:390:36:44

I saw your notes from earlier on this morning.

0:36:450:36:48

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

0:36:480:36:52

That doctor wanted me to have all these tests,

0:36:520:36:54

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

0:36:540:36:57

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

0:36:570:37:00

Have you had any other symptoms?

0:37:000:37:02

I tried to ignore them. Battle on.

0:37:030:37:06

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

-We'll know soon.

0:37:070:37:11

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

0:37:110:37:14

Thank you.

0:37:140:37:16

Um...

0:37:180:37:20

Is that woman still here?

0:37:210:37:23

-From the event?

-I think you might've scared her off.

0:37:230:37:25

I think I owe her an apology.

0:37:270:37:28

How is your son?

0:37:300:37:31

I think I owe him an apology, too.

0:37:320:37:34

Whoa, whoa, whoa! Mr Kingston!

0:37:370:37:39

Jeff! Jeff, what happened?

0:37:410:37:43

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

0:37:430:37:45

-He has arrested. Tamzin!

-Coming, Jeff!

0:37:450:37:47

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

0:37:470:37:50

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

-Come on, son.

0:37:500:37:54

Complicated, huh?

0:37:540:37:55

Maybe I did know, deep down.

0:37:570:38:00

Affairs never really solve anything though, do they?

0:38:040:38:07

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

0:38:070:38:10

Maybe not.

0:38:130:38:14

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

0:38:160:38:19

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

0:38:200:38:22

Can you give us a minute?

0:38:240:38:26

Yeah, sure.

0:38:270:38:29

The house, everything, it was for you.

0:38:340:38:38

My dreams were never as big as yours.

0:38:380:38:40

Then you made the wrong choice from the start.

0:38:420:38:44

It didn't feel like it then.

0:38:460:38:47

I think we've both changed.

0:38:490:38:51

We can go back to the way we were.

0:38:510:38:54

I'll take you home from here,

0:38:540:38:55

we'll forget everything that's happened.

0:38:550:38:57

We both know that won't work.

0:38:570:38:59

So what happens now?

0:38:590:39:01

You go off with him.

0:39:020:39:04

Let him be a father to our child?

0:39:040:39:06

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

0:39:060:39:09

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

0:39:110:39:13

I'm sorry.

0:39:160:39:17

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

0:39:310:39:34

-Just tell me.

-Course.

0:39:340:39:37

OK, it's good news.

0:39:390:39:41

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

0:39:410:39:44

on your L2, that is your lower back.

0:39:440:39:47

But there's no neurological damage.

0:39:470:39:49

I really thought I was never going to walk again.

0:39:490:39:52

We are going to keep you in overnight for observation

0:39:520:39:54

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

0:39:540:39:57

You'll have some follow-ups with orthopaedics.

0:39:570:39:59

-You're going to be fine.

-Thanks.

0:39:590:40:01

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

0:40:010:40:04

I just want to see my wife and son.

0:40:040:40:06

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

0:40:060:40:09

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

0:40:090:40:13

Anything, Ethan?

0:40:180:40:19

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

0:40:190:40:21

Charging.

0:40:230:40:25

Shocking.

0:40:250:40:27

No.

0:40:280:40:29

This could so have been avoided.

0:40:330:40:34

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

0:40:340:40:36

Any information on Drew?

0:40:380:40:40

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

0:40:400:40:44

I never knew.

0:40:460:40:48

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

0:40:480:40:50

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

0:40:500:40:54

I wish it was that simple.

0:40:560:40:57

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

-Yeah.

0:40:580:41:00

So is being fair.

0:41:020:41:04

The hand surgeon seems very confident about the prognosis.

0:41:080:41:11

That's really positive news.

0:41:110:41:12

I didn't know you were still here.

0:41:140:41:16

How is your hand?

0:41:160:41:18

Looks like the nerves and tendons might be OK,

0:41:180:41:20

but we'll know more after theatre.

0:41:200:41:22

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

0:41:260:41:29

Where's Paul?

0:41:290:41:31

Gone.

0:41:310:41:33

Drew.

0:41:340:41:36

I have to put my baby first.

0:41:400:41:43

Yeah.

0:41:430:41:45

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

0:41:450:41:48

Knowing you has always got me into trouble.

0:41:500:41:52

He's got widespread ST elevation.

0:42:000:42:03

The cardiology consultant is just setting up the cath lab,

0:42:030:42:05

should be along in a few minutes.

0:42:050:42:07

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

0:42:070:42:10

What about ITU, medics?

0:42:100:42:11

Yeah, they're both on their way.

0:42:110:42:13

Right, Tim's on the mend.

0:42:130:42:16

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

0:42:160:42:19

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

0:42:190:42:22

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

0:42:220:42:27

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

0:42:270:42:30

and a lot more besides.

0:42:300:42:31

Right. Hit the targets, you get the rewards.

0:42:310:42:34

Thank you.

0:42:340:42:35

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

0:42:380:42:40

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

0:42:420:42:46

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

0:42:480:42:51

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

0:42:510:42:55

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

0:42:550:42:58

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

0:42:580:43:00

the left ventricular wall.

0:43:000:43:02

That's why he needs the stent straightaway.

0:43:020:43:04

-Right.

-OK, good.

0:43:050:43:07

-He's in his element.

-Mm.

0:43:120:43:13

-I hired a few good ones in my time.

-Yeah, you did.

0:43:130:43:16

They're ready in the cath lab.

0:43:200:43:21

-Are you all right?

-I will be.

0:43:230:43:26

Tim, I'm sorry.

0:43:260:43:27

I caused the accident.

0:43:300:43:31

I've been a useless father.

0:43:340:43:36

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

0:43:360:43:38

I could do you two for one.

0:43:430:43:45

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

0:43:450:43:47

The NHS is spending millions trying to fight obesity

0:43:470:43:49

and you're adding to the problem.

0:43:490:43:51

I thought I warned you two guys.

0:43:510:43:53

Oh, right, Ash, yes,

0:43:530:43:55

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

0:43:550:44:00

-A new ECHO machine.

-ECHO machine?

0:44:000:44:03

Or ECG, or whatever we need.

0:44:030:44:05

By selling a few packets of sweets?

0:44:050:44:07

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

0:44:070:44:11

if you are serious about fundraising let me know

0:44:110:44:15

and I'll put it to the Trust.

0:44:150:44:18

Thank you, Mrs Beauchamp.

0:44:180:44:20

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

0:44:200:44:22

The nurses just got very lucky with Connie.

0:44:220:44:25

Really? Can't say I've noticed.

0:44:250:44:27

Too busy chasing my tail all day.

0:44:270:44:29

Your team did a really good job.

0:44:310:44:33

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

0:44:330:44:35

-Yes.

-All right, take care.

0:44:350:44:37

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

0:44:370:44:42

you know, from Tim's accident.

0:44:420:44:44

But if you do, just let me know.

0:44:440:44:46

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

0:44:460:44:50

Hardly.

0:44:500:44:52

Robyn, my nurse, told me about your situation.

0:44:520:44:55

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

0:44:580:45:02

or something when I come back for my orthopaedics appointment.

0:45:020:45:05

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

0:45:050:45:07

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

0:45:070:45:10

Yeah, you take care.

0:45:120:45:14

Professional to the bitter end, eh, Jeff?

0:45:160:45:19

-Yes, well, you know how it is.

-So, pub then?

0:45:190:45:22

Hey, don't worry about it.

0:45:220:45:24

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

0:45:240:45:27

waiting to dance with a hot single guy like you.

0:45:270:45:29

Can you help us out? Ta.

0:45:300:45:32

Technically, she's not a patient any more.

0:45:320:45:36

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

0:45:400:45:43

who collapsed in the car park.

0:45:430:45:44

Wow, that is impressive.

0:45:450:45:47

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

0:45:470:45:50

Well done.

0:45:510:45:53

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

0:45:530:45:56

-Connie?

-Yeah.

-About these staff reviews...

0:45:570:45:59

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

0:45:590:46:03

-The team are a bit worried about job cuts.

-Whatever gave them that idea?

0:46:030:46:07

No, I think there have been enough changes

0:46:070:46:09

-around here for the time being.

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

0:46:090:46:12

No rush to tell them, is there?

0:46:120:46:15

Finally called a truce, have you?

0:46:190:46:21

I am not that petty...any more.

0:46:210:46:24

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

0:46:240:46:27

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

0:46:270:46:29

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

-Stop now.

0:46:290:46:33

What you doing, Rita?

0:46:330:46:35

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

0:46:360:46:40

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

0:46:400:46:42

Firstly, he's not dead.

0:46:420:46:44

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

0:46:440:46:47

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

0:46:470:46:50

MOUSE BUTTON CLICKS

0:46:520:46:54

Breaking the rules so early, Mr Collier?

0:47:330:47:36

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

0:47:360:47:40

So, what were you thinking?

0:47:400:47:43

That "everyone should attempt something out of their comfort zone

0:47:430:47:45

-"at least once a week," right?

-Right.

0:47:450:47:48

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

0:47:490:47:51

Come in.

0:47:530:47:54

I was hoping you were going to say that.

0:47:550:47:57

You wanted to hear about the interview?

0:48:010:48:04

Yes, come in, sit down.

0:48:040:48:06

They offered me the job.

0:48:120:48:14

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

0:48:150:48:17

But I turned it down.

0:48:180:48:20

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

0:48:230:48:26

That's just what this place needs.

0:48:260:48:29

Welcome back.

0:48:290:48:30

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