0:00:02 > 0:00:05- Samantha Kellman. - Ah, OK. Jeff Collier, paramedic.
0:00:05 > 0:00:07Humble pie. Breakfast, lunch and dinner.
0:00:07 > 0:00:10- What, and you don't think I'm owed an apology?- You joking?
0:00:10 > 0:00:13- I supported you through all of that. - Which I'm grateful for,
0:00:13 > 0:00:16but it didn't get either of us very far, did it?
0:00:16 > 0:00:19- Thanks for being my "knight in shining armour."- Hardly.
0:00:19 > 0:00:21I just, wondered, you know,
0:00:21 > 0:00:23whether we might be able to go for a coffee or something?
0:00:23 > 0:00:26Did you know about Rita? Apparently she used to be married.
0:00:26 > 0:00:28Husband died.
0:00:28 > 0:00:30I want to keep a very tight hold on the reins here, Tess.
0:00:30 > 0:00:32That's just what this place needs.
0:01:08 > 0:01:09Let's try this one first, eh?
0:01:11 > 0:01:14Oh, you'll feel better soon, Evie, I promise...
0:01:14 > 0:01:15BABY CRIES
0:01:15 > 0:01:18Oh! Mr Knapton, it's me, Rita Freeman - again, sorry.
0:01:18 > 0:01:20I'm just ringing to double check today
0:01:20 > 0:01:22is the day for all the paperwork.
0:01:22 > 0:01:26Oh, that's great. No, I'm just going to do a shift at the hospital,
0:01:26 > 0:01:29- but if you give me a ring when it's complete...- Hey! Break a leg!
0:01:29 > 0:01:31You know it's Tess' first day back, don't you?
0:01:32 > 0:01:35Er, yeah, that'd be great. OK, thank you, bye!
0:01:39 > 0:01:42Who are you and what have you done with my husband?
0:01:43 > 0:01:45I've been meaning to do it for months.
0:01:45 > 0:01:48Trellis up last weekend, window locks yesterday...
0:01:48 > 0:01:50Whatever it is you've done, you're forgiven.
0:01:52 > 0:01:53Do you know how amazing you are?
0:01:53 > 0:01:58DOORBELL RINGS Hold that thought.
0:01:58 > 0:01:59RINGING CONTINUES
0:02:07 > 0:02:09Terry! HE SIGHS AND COUGHS
0:02:11 > 0:02:12You can go now, yeah?
0:02:14 > 0:02:17Girls will be up soon. I want that junkie out of my house.
0:02:17 > 0:02:20EX-junkie, thanks very much.
0:02:25 > 0:02:29- If you're in trouble, I can help you.- Thanks, but there's no need.
0:02:29 > 0:02:32- Because?- Because this isn't how it works, Chaz.
0:02:35 > 0:02:38Chaz, hey...
0:02:38 > 0:02:39QUICK BLAST OF SIREN
0:02:42 > 0:02:43Morning, boys.
0:02:45 > 0:02:49Morning, Mrs B. I'm loving those shoes.
0:02:49 > 0:02:51It's Mrs Beauchamp, and thank you.
0:02:51 > 0:02:53Another day at the coalface, are you ready for it?
0:02:53 > 0:02:55- Yup. Absolutely. - Ready, willing and able.
0:02:55 > 0:02:57I'd like to see you both in my office in 15.
0:02:59 > 0:03:00What do you think that's about?
0:03:00 > 0:03:03Perhaps she wants more of your sartorial compliments.
0:03:03 > 0:03:05Or it could be another debrief.
0:03:05 > 0:03:09- See you at group next week then, yeah?- Why are you being like this?
0:03:10 > 0:03:12This is not a good time, Chaz.
0:03:12 > 0:03:14- She doesn't know what you're planning, does she?- I'm sorting it.
0:03:14 > 0:03:16Nobody's going to do business with you, Terry.
0:03:16 > 0:03:18And I'll figure something out.
0:03:18 > 0:03:20- If I made a few introductions... - Hey, hey! No.
0:03:20 > 0:03:22I don't want you getting involved.
0:03:22 > 0:03:24But you don't know what you're doing - at all.
0:03:24 > 0:03:25And that's my problem.
0:03:25 > 0:03:27"A problem shared is a problem halved."
0:03:28 > 0:03:32- You taught me that, remember? - Mmm...so you do listen?
0:03:32 > 0:03:35When it's good advice. You should try it.
0:03:37 > 0:03:38Trust me.
0:03:38 > 0:03:41- Tess! Welcome back. - Think I'll recognise the place?
0:03:41 > 0:03:45Oh, I don't know. Connie's probably monogrammed the bed pans overnight.
0:03:45 > 0:03:47- I thought she was welcome to it. - She is. Totally.
0:03:47 > 0:03:51Anyway, enough about that. How are you? Have you got a game plan?
0:03:51 > 0:03:53I wasn't aware I needed one.
0:03:53 > 0:03:57- Aren't you going to address the whole Fletch thing?- Absolutely not.
0:03:57 > 0:03:59It would put a stop to the gossip.
0:03:59 > 0:04:03I'm here to do the best job I can and I'm going to be professional.
0:04:05 > 0:04:07MOBILE PHONE RINGS
0:04:12 > 0:04:15Why don't you just give me the basics? I can take it from there.
0:04:15 > 0:04:17- OK. Let's start with how much you need.- Eh?
0:04:18 > 0:04:21- Terry, how much do you need? - 100 grand.
0:04:21 > 0:04:22You what? 100 grand?!
0:04:22 > 0:04:25You got a gambling problem or something?
0:04:25 > 0:04:26Yeah, something like that.
0:04:26 > 0:04:31You'll need to go for high-end gear - BMWs, Mercedes...Land Rovers.
0:04:31 > 0:04:34But they're all kitted out with immobilizers and alarms
0:04:34 > 0:04:37- and stuff, aren't they? - Been doing your homework?
0:04:37 > 0:04:39I have, as it happens. This is a big deal for me.
0:04:39 > 0:04:41What did you say to me last week?
0:04:41 > 0:04:45"Don't wait for your ship to come in, swim out to it."
0:04:45 > 0:04:47Ah, sounds about right. Now where we going?
0:04:47 > 0:04:49- Getting your feet wet. - What are you on about?
0:04:49 > 0:04:51We're going shopping, big man.
0:04:55 > 0:04:58No, it is important, because if we don't get it done today,
0:04:58 > 0:05:00we're not going to get it done at all, are we?
0:05:00 > 0:05:04Well, I was thinking ivory or snow. Maybe picket fence?
0:05:04 > 0:05:05No, they are not all the same, Amy...
0:05:05 > 0:05:08- This car is even better.- Eh?
0:05:08 > 0:05:10You're not taking the job of my bridesmaid very seriously, are you?
0:05:10 > 0:05:13You need two people, but it's the cleanest way -
0:05:13 > 0:05:17no CCTV, no witnesses and you can pick your target.
0:05:17 > 0:05:20- Hold on. What if...? - I'll do the talking. You move over.
0:05:20 > 0:05:21I'll meet you on Stanley Street.
0:05:23 > 0:05:26- Wait, wait, wait, how will I know when...?- You'll know.
0:05:27 > 0:05:29What the hell?!
0:05:30 > 0:05:34- Great, that's just great! - I'm so sorry. Are you all right?
0:05:34 > 0:05:36- What do you think? - That was totally my fault.
0:05:36 > 0:05:37My dad kept telling me to slow down.
0:05:37 > 0:05:40Well, I'll need your insurance details, your number.
0:05:40 > 0:05:43Yeah, of course. It's my dad's car, so you'll need to get them from him.
0:05:44 > 0:05:46No, wait!
0:05:46 > 0:05:47Ah!
0:05:49 > 0:05:51TYRES SCREECH AND ENGINE ROARS
0:05:56 > 0:05:58KNOCK ON DOOR Come in.
0:05:59 > 0:06:02- A little pick-me-up. - Ooh. First of the day, lovely.
0:06:02 > 0:06:04How do you look this good before coffee?
0:06:06 > 0:06:08So...budgets are the new black,
0:06:08 > 0:06:11and WE are very much in the red... and bleeding.
0:06:11 > 0:06:12More like haemorrhaging.
0:06:12 > 0:06:16So...how about a little challenge to help stem the flow?
0:06:16 > 0:06:18There would be rewards, of course.
0:06:18 > 0:06:20Either of you up for the challenge?
0:06:20 > 0:06:23- Yeah, of course.- I'm in.
0:06:23 > 0:06:26Both of you? Excellent. Well, that's it, thank you very much.
0:06:27 > 0:06:30Keep up the good work, Dr Hardy, no more breaches.
0:06:30 > 0:06:33- Oh, not if I can help it. - Oh, that's not fighting talk, is it?
0:06:33 > 0:06:36- Cal, see if you can awaken his competitive spirit?- Mm.
0:06:39 > 0:06:43- You do know those two hate each other?- I know.
0:06:43 > 0:06:46Ah, now you're here, er... blue or lilac?
0:06:46 > 0:06:50- Erm...we can't decide. - Blue, definitely. Matches his eyes.
0:06:50 > 0:06:53Right. Well, I was going with the lilac, but, er...
0:06:53 > 0:06:55No, no, blue, blue, definitely blue.
0:06:55 > 0:06:59OVER RADIO: 'Control to 3006, emergency call, multi-storey car park
0:06:59 > 0:07:01'on the corner of Junction Road, possible assault,
0:07:01 > 0:07:03'injuries unknown, police have been informed.'
0:07:03 > 0:07:063006 to control, received, we're on our way, over.
0:07:12 > 0:07:18- Tess! Good to have you back. - Thank you. Was there something else?
0:07:18 > 0:07:23Um...yes. Just between us.
0:07:23 > 0:07:27A former colleague, Andrea Somerton, is over from the US,
0:07:27 > 0:07:30foisting herself on CCU while she sets up a fellowship...
0:07:30 > 0:07:33- And she's paying us a visit?- Oh, undoubtedly, she'll punch in
0:07:33 > 0:07:36below stairs once she's finished brown-nosing Guy Self.
0:07:36 > 0:07:38I'll make sure she gets a very warm welcome.
0:07:38 > 0:07:41Forget the warmth. I want everyone on top of their game.
0:07:41 > 0:07:43At best, this department is world-class,
0:07:43 > 0:07:45- and I want her to see that. - 'Course.
0:07:45 > 0:07:48Thank you. You've probably got lots to get on with, so...
0:07:48 > 0:07:51- Mmm.- Miss breakfast?- Mmm.
0:07:51 > 0:07:54- MOUTH FULL:- Slept through my alarm, first time in years...
0:07:54 > 0:07:56Where'd you get that?
0:07:56 > 0:07:58I found it in a cupboard that's being cleared out.
0:07:58 > 0:08:01Thought my brother might fancy a game.
0:08:02 > 0:08:06- Being a bit literal as usual, Cal. - Just following orders.
0:08:06 > 0:08:07Don't see how a game of chess
0:08:07 > 0:08:09- is going to help us with the budget. - Yeah, not how you play.
0:08:12 > 0:08:14How about that?
0:08:14 > 0:08:16- Oh, typical.- How so?
0:08:16 > 0:08:18The king-pawn opening -
0:08:18 > 0:08:21choosing violent tactics over strategic manoeuvring.
0:08:21 > 0:08:22Play nice, you two.
0:08:26 > 0:08:29- Oh! There you are. - What? Am I in trouble?
0:08:29 > 0:08:32- Tess is on the warpath.- Yeah, she wants us to restock the cubicles
0:08:32 > 0:08:35and clear all of this backlog.
0:08:35 > 0:08:38What backlog? Ah, when did it get so busy?
0:08:38 > 0:08:39Well, it's the triple threat, isn't it?
0:08:39 > 0:08:41Summer parties, summer holidays...
0:08:41 > 0:08:45- Summer loving.- Ooh!- Eugh! As if.
0:08:45 > 0:08:46- What's got into him? - It's secret.
0:08:46 > 0:08:49- New girlfriend apparently. - Yeah, until she gets a puncture.
0:08:49 > 0:08:51Break time already?
0:08:51 > 0:08:53I hope punctuality isn't key to your application, Rita.
0:08:53 > 0:08:57- Ash said stick to facts. - Just as well. And Lofty?
0:08:58 > 0:09:00The inventory? Yeah, I'm onto it, yeah.
0:09:00 > 0:09:01Don't make me ask you again.
0:09:05 > 0:09:07Is it me or is she getting scarier every day?
0:09:07 > 0:09:09- Well, I am definitely Team Fletch. - Robyn!
0:09:09 > 0:09:12- Oh, come on! - Right, OK. Happy hour's on me later.
0:09:12 > 0:09:14Yeah, right, like we'll have the time.
0:09:14 > 0:09:18I've got a good feeling about today. Rosemary Leaper?
0:09:36 > 0:09:38Glad you could keep up!
0:09:38 > 0:09:40What just happened? That woman! She could have...
0:09:40 > 0:09:45Chill. Look, don't worry. Someone will have found her, called 999.
0:09:45 > 0:09:47Yeah, but, how...?
0:09:47 > 0:09:50So how long before the police...? I mean, won't they be onto us?
0:09:50 > 0:09:54Dunno. Didn't do jacking really. Mostly lifted sat navs, stereos...
0:09:54 > 0:09:56What?
0:09:56 > 0:09:59I was looking for my next fix, you want 100 grand.
0:10:01 > 0:10:03- So what happens next?- Park her up in your garage,
0:10:03 > 0:10:06- wait until the heat dies down. - LAUGHING:- No, no.- "No"?
0:10:06 > 0:10:08No! The sooner you make those introductions,
0:10:08 > 0:10:10the sooner I can do this without you.
0:10:10 > 0:10:13As if! You need me and you know it.
0:10:17 > 0:10:19Keys. I'll drive.
0:10:23 > 0:10:25She's just being a mate, I'm telling you.
0:10:25 > 0:10:28- OK. Eh...what colour are my eyes? - What?
0:10:28 > 0:10:30What colour are my eyes? You've known me for six years.
0:10:30 > 0:10:32Ah, here we are.
0:10:33 > 0:10:36- I spy with my little eye...- Oh, come on mate, we don't have time for this.
0:10:36 > 0:10:38..something that'll end in tears.
0:10:38 > 0:10:41Just as long as something starts, you know?
0:10:41 > 0:10:43I don't care how it ends.
0:10:43 > 0:10:45And you're happy with that?
0:10:45 > 0:10:48- I don't think I have any choice.- Help me, please, I'm getting married!
0:10:48 > 0:10:50Great, that's all we need.
0:10:50 > 0:10:53All right, sweetie. I'm Jeff, I'm a paramedic.
0:10:53 > 0:10:56- Can you tell me your name?- My swatches! They've taken my swatches!
0:10:56 > 0:10:59Right, you're dealing with that, are you? Marvellous. OK.
0:10:59 > 0:11:00Let's have a little look at you, then.
0:11:00 > 0:11:03She's giving her team a really hard time
0:11:03 > 0:11:05and she practically bit my head off earlier.
0:11:05 > 0:11:07- Bit of a train wreck, is she? - Unbelievable.
0:11:07 > 0:11:09SHE SIGHS DISAPPROVINGLY
0:11:10 > 0:11:12Hello, are you all right?
0:11:12 > 0:11:15Yes...er, no. It's Eve, she's not been well.
0:11:15 > 0:11:17Has she got a temperature? Why don't you come in?
0:11:17 > 0:11:20- WOMAN:- I need a doctor! - I don't want to be a nuisance...
0:11:20 > 0:11:22Don't worry, you've come to the right place.
0:11:22 > 0:11:24- Better to be safe than sorry. What's your name?- Rachel.
0:11:24 > 0:11:26Rachel Clarkson. I'm her foster mother.
0:11:26 > 0:11:30OK, well follow me, Rachel. Don't worry, we don't bite.
0:11:30 > 0:11:33- I hear the sibling rivalry's hotting up.- What's this?
0:11:33 > 0:11:37- There's a chess game in the staff room.- Ah...interesting.
0:11:37 > 0:11:40And if Lofty and I were to have a little wager?
0:11:40 > 0:11:43- I'm always a safe bet. - Safe enough to risk your last fiver?
0:11:43 > 0:11:45Ah, thank you.
0:11:45 > 0:11:47- WOMAN:- I really want to see someone now!
0:11:47 > 0:11:50- Allow me to demonstrate. Lofty. - Please, please!
0:11:50 > 0:11:54- What have we got? - This is Mia Cornwell, 27 years old.
0:11:54 > 0:11:57Bruised and swollen right eye. GCS has been 15 throughout.
0:11:57 > 0:12:00- Right, into triage, please. - My face! You've got to fix my face!
0:12:00 > 0:12:03Ah... Mia's getting married in two weeks.
0:12:03 > 0:12:05Oh...joy.
0:12:05 > 0:12:08Hello, I'm Dr Hanna. Are you down from CCU?
0:12:08 > 0:12:12Oh, a doctor who smokes, how refreshingly irresponsible.
0:12:12 > 0:12:14I wanted to speak to you about Mrs Austin's wound pains...
0:12:14 > 0:12:17You'd expect a bit of pain if I'd cracked your sternum open
0:12:17 > 0:12:20- and removed a couple of ribs.- But I'm concerned it might be misaligned.
0:12:20 > 0:12:22It's muscular. Give her some ibuprofen
0:12:22 > 0:12:24and arrange an out-patient check up.
0:12:24 > 0:12:28- Right, thank you. Very helpful(!) - Andrea? Ohh...
0:12:28 > 0:12:31- Certainly is. - I thought you were in Boston?
0:12:31 > 0:12:33- I arrived a few days ago to sort out a fellowship.- Oh.
0:12:33 > 0:12:37Elliot told me you were down here. I'd never have guessed.
0:12:37 > 0:12:39Oh, clinical lead... what can I say?
0:12:39 > 0:12:41So you're master of man flu, queen of colds?
0:12:41 > 0:12:43I promise you, this is where the action happens.
0:12:43 > 0:12:49- Of course, Jack of all trades.- Shall I show you around my department?
0:12:49 > 0:12:51Please, can we have a coffee first?
0:12:51 > 0:12:53Oh, God, yes, of course.
0:12:53 > 0:12:54OK, try and relax.
0:12:54 > 0:12:57- TEARFUL:- Relax?! Didn't you hear? I'm getting married in two weeks!
0:12:57 > 0:13:00And it's our job to make sure you look as beautiful as possible.
0:13:00 > 0:13:03- I'll get the dressing. - Yeah. Just sit forward.
0:13:06 > 0:13:08Great. Up on the bed, please.
0:13:10 > 0:13:11SHE SOBS
0:13:13 > 0:13:16If you could stay still as you possibly can for me.
0:13:16 > 0:13:18Everything's ruined! Completely ruined!
0:13:18 > 0:13:23That's not true. Dr Knight had a proper shiner a few weeks ago...
0:13:23 > 0:13:24look at him now.
0:13:24 > 0:13:25SHE BLOWS NOSE
0:13:25 > 0:13:28Oh, OK! Unnecessary pressure around the area could cause more
0:13:28 > 0:13:31blood vessels to burst, which would give you more discoloration.
0:13:31 > 0:13:34- And we wouldn't want that, would we? - You mean I've made it worse?
0:13:34 > 0:13:36Look, there's a lot we can do to lessen the swelling,
0:13:36 > 0:13:39but you have to help me help you.
0:13:39 > 0:13:41OK? Good.
0:13:42 > 0:13:44Let's start with a simple eye exam.
0:13:45 > 0:13:47Can you just follow my finger...
0:13:47 > 0:13:49and let me know at any time if you see double.
0:13:54 > 0:13:57Watch and learn, Lofty, my son. Watch and learn....
0:13:58 > 0:13:59Temperature's at 40.
0:13:59 > 0:14:03She's lethargic and her heart rate and breathing are up.
0:14:03 > 0:14:04Has she been like this for long?
0:14:04 > 0:14:06A few days.
0:14:06 > 0:14:08OK, we're going to need to take some bloods.
0:14:08 > 0:14:12Do you have to? She doesn't like it here.
0:14:12 > 0:14:13She's scared.
0:14:14 > 0:14:17How have things been at home? Has she been keeping you awake?
0:14:17 > 0:14:19I don't sleep much anyway. Look, I'm sure she's fine,
0:14:19 > 0:14:23- and you must be busy. - No. We're not in any rush.
0:14:23 > 0:14:26- CONNIE:- I think the NHS has a lot to offer.
0:14:26 > 0:14:28You certainly get what you pay for.
0:14:28 > 0:14:31What, unlike the overly expensive, under-productive system in the US?
0:14:31 > 0:14:33Socialised medicine doesn't work.
0:14:33 > 0:14:36No amount of sophistry or whining will change the fact.
0:14:36 > 0:14:38It's good to see you.
0:14:38 > 0:14:41Doctor, doctor. Ha! There should be a joke about this...
0:14:41 > 0:14:43Dr Knight, meet Andrea Somerton.
0:14:43 > 0:14:47She has just set up a centre for aortic disease in the US.
0:14:47 > 0:14:49A woman after my own heart.
0:14:49 > 0:14:50Mmm, sorry.
0:14:50 > 0:14:54So how do you and Mrs B... Beauchamp know each another?
0:14:54 > 0:14:56MOBILE PHONE CHIME
0:14:56 > 0:14:58We worked together many years ago.
0:14:58 > 0:15:00Before Connie became so fond of hard work and elbow grease.
0:15:00 > 0:15:02- Mmm.- Oh, Guy wants a word.
0:15:02 > 0:15:05He approved the fellowship, so I'd better play ball.
0:15:05 > 0:15:07- You could give me the grand tour later?- Yeah, of course.
0:15:07 > 0:15:09- Shout me lunch? - Yeah. Bye.
0:15:09 > 0:15:11Her white count is 20.
0:15:12 > 0:15:14Exactly how long has Eve been running a fever?
0:15:14 > 0:15:17- Since Tuesday. - Did you go and see your GP?
0:15:17 > 0:15:21- No.- A child with a high temperature should be seen by a doctor
0:15:21 > 0:15:24- or nurse if you're worried. - I didn't know that.
0:15:24 > 0:15:26I'm sure you will now.
0:15:26 > 0:15:28Eve has definitely got an infection. Because she's very hot
0:15:28 > 0:15:30and quite dry I'd like to run some tests
0:15:30 > 0:15:32and check where the infection is coming from.
0:15:32 > 0:15:35Can't you just give her some medicine? Antibiotics or something?
0:15:35 > 0:15:38We need to find out whether this is bacterial rather than viral first.
0:15:38 > 0:15:40She'll have a chest X-ray
0:15:40 > 0:15:43and then we'll perform what's called a lumbar puncture.
0:15:43 > 0:15:45- And...should I come with you? - Yes, if you'd like to.
0:15:45 > 0:15:48You can help us get her settled, which is really important.
0:15:48 > 0:15:51- OK.- OK, thanks.
0:15:51 > 0:15:54- Where do you think you're going? - You said everything checked out.
0:15:54 > 0:15:57- I don't understand why I can't go. - You've got a head injury.
0:15:57 > 0:15:59So you need to be discharged with a responsible adult.
0:15:59 > 0:16:03- Let me call your fiance.- No! Please! He can't see me like this.
0:16:03 > 0:16:05- Oh, come on, Mia... - I can call my bridesmaid Amy.
0:16:05 > 0:16:07OK. Do what you have to do.
0:16:10 > 0:16:12What's wrong with this picture?
0:16:17 > 0:16:19- Two broken ribs. - I'll call social services,
0:16:19 > 0:16:22and page the child protection paediatrician.
0:16:22 > 0:16:24There could be a rational explanation.
0:16:24 > 0:16:25There are guidelines in place, Dr Hardy.
0:16:25 > 0:16:29Can we just wait and see what Rachel has to say first, please?
0:16:31 > 0:16:32OK.
0:16:40 > 0:16:42What is it? Is there something wrong?
0:16:42 > 0:16:44We're a little concerned about some of the injuries that
0:16:44 > 0:16:47- have shown up on Eve's X-ray. - What kind of injuries?
0:16:47 > 0:16:50- She has two broken ribs. - What? How?
0:16:50 > 0:16:54- Has she had any falls recently? - Falls? She can't walk, so...
0:16:54 > 0:16:57- Could she have fallen from her cot? - No.- Or down some stairs maybe?
0:16:57 > 0:16:58I watch her all the time!
0:16:58 > 0:17:00And you're the only person who looks after her?
0:17:00 > 0:17:03The agency takes on lots of single mums and dads.
0:17:03 > 0:17:05Why are you asking me all these questions?
0:17:05 > 0:17:07Because Eve can't tell us what's wrong
0:17:07 > 0:17:09or whether she's in any pain,
0:17:09 > 0:17:11we just need to know exactly what happened.
0:17:11 > 0:17:13I haven't hurt her, if that's what you mean.
0:17:13 > 0:17:16We'll need to call a child protection paediatrician
0:17:16 > 0:17:18who specialises in these kind of cases,
0:17:18 > 0:17:20and they'll come down and they'll examine Eve.
0:17:20 > 0:17:23But first we need to work out what's causing Eve's fever.
0:17:23 > 0:17:27- So we'll start with the lumbar puncture.- And then?
0:17:27 > 0:17:30We'll take some more X-rays, a CT scan of her brain,
0:17:30 > 0:17:32an eye exam and some clinical photographs if we need to.
0:17:32 > 0:17:34No, please, she's so tiny.
0:17:34 > 0:17:37Perhaps it's best if you wait in the relatives' room.
0:17:37 > 0:17:40Can I take her? Gently does it.
0:17:41 > 0:17:44- EVE GRIZZLES - It's OK.
0:17:44 > 0:17:48- So how much do you think we'll get for it?- He said 800.
0:17:48 > 0:17:50800?! It's worth ten times that at least.
0:17:50 > 0:17:53Yeah, probably, if it was yours to sell.
0:17:53 > 0:17:56I reckon we shouldn't settle for anything less than 12.
0:17:56 > 0:17:57SHE SCOFFS
0:17:57 > 0:17:59I don't think Al's the haggling type.
0:17:59 > 0:18:02- What do you mean by that? - Chill out, yeah?
0:18:02 > 0:18:04Oh, no, look...
0:18:05 > 0:18:06Just relax.
0:18:08 > 0:18:10Yeah, easy for you.
0:18:10 > 0:18:11TYRES SCREECH
0:18:11 > 0:18:12Relax!
0:18:12 > 0:18:14SIREN WAILS
0:18:17 > 0:18:19Terry! Wait, stop!
0:18:21 > 0:18:23The bike, Terry! Watch the bike!
0:18:25 > 0:18:26TERRY COUGHS
0:18:28 > 0:18:30Terry.
0:18:33 > 0:18:37Terry, what's wrong? What the hell is wrong with you?!
0:18:37 > 0:18:40Terry! Just breathe!
0:18:46 > 0:18:48Terry...
0:18:48 > 0:18:50Terry, look out!
0:18:50 > 0:18:51TERRY!
0:18:53 > 0:18:55SIREN STOPS
0:18:57 > 0:18:59I know you're driving, but I just wanted to say
0:18:59 > 0:19:02I'm going to try and get some beauty sleep while I wait for the doctor.
0:19:02 > 0:19:05I don't want bags as well as bruises. Just call me when you get here, OK?
0:19:05 > 0:19:08OK, doctor will be waiting in cubicle three for him.
0:19:08 > 0:19:11- Tess, can I have a word? - It's not a good time.
0:19:11 > 0:19:14Well, it hasn't been for the last few weeks.
0:19:14 > 0:19:16Is a bit of privacy too much to ask for?
0:19:19 > 0:19:22- See what I mean? - She's all right with me.
0:19:22 > 0:19:23Oh, that's very helpful(!)
0:19:28 > 0:19:30OK, needle's in the right place.
0:19:30 > 0:19:34Oh, you're doing really well, sweetheart...really well.
0:19:39 > 0:19:41EVE CRIES GENTLY
0:19:43 > 0:19:47- Pressure's 19.- How's it looking? - It's clear.
0:19:49 > 0:19:52- Would you mind taking her for her skeletal survey now, please?- Mm-hmm.
0:19:52 > 0:19:54I just need to plan my next move.
0:19:55 > 0:19:59Right, Terry, that's you, my son. Next stop - Holby ED, OK?
0:19:59 > 0:20:01Finally, here come the cavalry!
0:20:03 > 0:20:04You all right? What've we got?
0:20:04 > 0:20:06It's the beemer from the car jacking.
0:20:06 > 0:20:09- Can you take care of the partner in crime, please?- Yeah, were they KO'd?
0:20:09 > 0:20:11No, far from it. Singing like a canary.
0:20:11 > 0:20:15Nice. Hiya, love. I'm Tamzin, I'm a paramedic.
0:20:15 > 0:20:17Whatever. I told the others, I'm fine.
0:20:17 > 0:20:20I just want to talk to the police properly, on record.
0:20:20 > 0:20:23- All right, you'll get your turn. - I need to talk to them now!
0:20:23 > 0:20:25Calm down! It can wait until we get to the hospital.
0:20:25 > 0:20:28But they need to know this is all my fault, all of it!
0:20:28 > 0:20:30OK! I'm going to treat you first,
0:20:30 > 0:20:33I don't want you to say anything you might regret, all right?
0:20:33 > 0:20:35Just try and keep calm for me. Thank you.
0:20:35 > 0:20:37Come on, mate, it's not brain surgery.
0:20:37 > 0:20:41Shouldn't you be out there scaling the coalface?
0:20:41 > 0:20:45Erm...nope. I'm still waiting on cardiology.
0:20:45 > 0:20:50If I mirror your move... then it's all about how you respond.
0:20:50 > 0:20:52Well done.
0:20:52 > 0:20:57Rachel said Eve was scared. So Eve could be mirroring Rachel.
0:20:59 > 0:21:00Where are you going?
0:21:00 > 0:21:02The nine-month-old presenting with a fever.
0:21:02 > 0:21:04Ah, you're still dealing with
0:21:04 > 0:21:06- the kid with the runny nose? - It's complicated.
0:21:06 > 0:21:09Cal, incoming RTC, two minutes.
0:21:09 > 0:21:12I thought you were due to start that grand tour?
0:21:12 > 0:21:14What better place to start than Resus? Alison, with me, please.
0:21:16 > 0:21:18Hello.
0:21:18 > 0:21:21I'm sorry. I should have told you where I was.
0:21:21 > 0:21:23That's OK. Shall we get a cup of tea or something?
0:21:25 > 0:21:26OK.
0:21:27 > 0:21:29You said that Eve didn't like being in hospital.
0:21:31 > 0:21:32Why do you think that is?
0:21:33 > 0:21:36It's just a bit claustrophobic, you know...hard to breathe.
0:21:37 > 0:21:41Did you happen to spend any time in hospital when you were a child?
0:21:41 > 0:21:45More recent. Leukaemia. I got the all clear eight months ago.
0:21:45 > 0:21:49Right, so not long before you started looking after Eve?
0:21:49 > 0:21:53- She was my celebration. - And how have you been feeling since?
0:21:53 > 0:21:55OK. I'm OK.
0:21:55 > 0:21:59Good. Do you mind if...? You haven't had any symptoms at all?
0:21:59 > 0:22:02My blood count's normal. My doctor said I'm fine!
0:22:02 > 0:22:04Your pulse is very fast, Rachel.
0:22:04 > 0:22:06What is it that you're frightened of?
0:22:07 > 0:22:09Can you come through to my office, please?
0:22:09 > 0:22:11All right, what have we got?
0:22:11 > 0:22:13Terry French. Driver of a car involved in an RTC.
0:22:13 > 0:22:15Car hit a stationary vehicle.
0:22:15 > 0:22:17Air bag deployed, so he's got bruising to his chest,
0:22:17 > 0:22:20decreased breath sounds on the right-hand side.
0:22:20 > 0:22:25BP is 108 over 72. Pulse 120. Resps 28 and sats are 92%.
0:22:25 > 0:22:28- OK.- OK.- All right, straight through to Resus please.
0:22:28 > 0:22:30- Thank you. - There you are.
0:22:30 > 0:22:33- Erm, we're going to have to skip lunch.- What've you got?
0:22:33 > 0:22:37RTC, two casualties. You're welcome to watch the guys in action.
0:22:37 > 0:22:40- Thank you. - Looks like a meat and potatoes case.
0:22:40 > 0:22:41That's the beauty of this place -
0:22:41 > 0:22:43you never know what comes through the door.
0:22:43 > 0:22:45The Forrest Gump school of thought.
0:22:45 > 0:22:49OK, everybody ready? Three, two , one - there we go.
0:22:49 > 0:22:51That's great. Thanks, guys.
0:22:54 > 0:22:55TERRY GROANS
0:22:55 > 0:22:58Oh, right. Tenderness in the chest wall.
0:23:00 > 0:23:04Decreased sound on right side.
0:23:06 > 0:23:08Dullness to percussion.
0:23:08 > 0:23:11OK, he's tachypneic, resps at 30.
0:23:11 > 0:23:13Right, let's get the chest X-ray in please,
0:23:13 > 0:23:17I'd like an ECG, FBCs, Us and Es, and I may need a chest drain.
0:23:17 > 0:23:20Can we call the lab? I'd like four units of cross-matched,
0:23:20 > 0:23:22as soon as possible, please.
0:23:22 > 0:23:25OK, this is Charlotte Chandler, 18, passenger in the RTC.
0:23:25 > 0:23:31GCS has been 15 throughout, pulse 80, BP 130 over 85,
0:23:31 > 0:23:34sats 98, she's lost approximately 250ml of blood at the scene.
0:23:34 > 0:23:37- CHAZ:- I want to talk to the police! - Any analgesia?
0:23:37 > 0:23:39No, I tried but it was refused.
0:23:39 > 0:23:43On my count - on three, two, one.
0:23:44 > 0:23:48- OK.- Thank you. - Hi, Charlotte, I'm Dr Hanna.
0:23:48 > 0:23:51Let's get some routine bloods and fluids please,
0:23:51 > 0:23:56I want Us and Es, LFTs, FBCs, group and save, glucose and a beta hCG.
0:23:56 > 0:23:58- Where are the police? - Try and keep still for me, yeah?
0:23:58 > 0:24:00Nice deep breath?
0:24:01 > 0:24:03OK, let's look in those eyes.
0:24:08 > 0:24:12Pupils equal and reactive. Right...
0:24:12 > 0:24:15- What's she still hanging around for? - Mrs Beauchamp's friend?
0:24:15 > 0:24:16Oh, of course she is.
0:24:16 > 0:24:20All right, we have a pleural effusion on the right side,
0:24:20 > 0:24:24a small pneumothorax, cannonball metastases
0:24:24 > 0:24:27and two fractured ribs. Could be a malignant effusion,
0:24:27 > 0:24:29could be a haemothorax from the chest trauma.
0:24:29 > 0:24:32Definitely needs draining. Can we have the chest drain set in, please?
0:24:32 > 0:24:34Lungs are seriously compromised.
0:24:34 > 0:24:36Can we see if we can find some old notes as well?
0:24:38 > 0:24:41The skeletal survey shows what's called a bucket handle fracture.
0:24:43 > 0:24:47Which is a very worrying injury in young children.
0:24:47 > 0:24:49- Can you explain that, Rachel?- No.
0:24:49 > 0:24:52This isn't right. This isn't what's supposed to happen.
0:24:52 > 0:24:56- Sorry, how do you mean? - Things are supposed to get better.
0:24:56 > 0:24:58My life starts now.
0:24:58 > 0:25:00You mean, since your all clear?
0:25:00 > 0:25:03I've got everything I want. I'm well.
0:25:03 > 0:25:05Well enough to care for someone else.
0:25:05 > 0:25:09And has Eve been given the kind of care she needs?
0:25:09 > 0:25:11I panicked when she got ill.
0:25:11 > 0:25:13I.. I was scared it was something bad.
0:25:13 > 0:25:15I didn't know what to do.
0:25:15 > 0:25:19Maybe that's why the cancer stopped me having a baby of my own.
0:25:19 > 0:25:22These results suggest that Eve is at significant risk
0:25:22 > 0:25:23of harm in your care.
0:25:25 > 0:25:27You don't want me to have her.
0:25:27 > 0:25:31We'll have to update social services and let Mrs Beauchamp know.
0:25:36 > 0:25:37Ah! How are we doing?
0:25:37 > 0:25:39Can I finish making my statement now or what?
0:25:39 > 0:25:42- She's been charm personified. - Shut it, gimp!
0:25:42 > 0:25:44- Thanks.- Is that her or the head injury talking?
0:25:44 > 0:25:47- Well, CT was clear, so...- It's a fair assessment then.- Funny.
0:25:47 > 0:25:50Yeah, careful, you don't want his new girlfriend to hear you say that.
0:25:50 > 0:25:52- New girlfriend? - Lofty thinks she works here,
0:25:52 > 0:25:55explains why he's signing up for extra shifts.
0:25:55 > 0:25:57- Wow. Desperate. - Again, thanks.
0:25:57 > 0:26:01Extra shifts, eh? Well, you'll have to keep me posted.
0:26:01 > 0:26:02Robyn is on the case.
0:26:02 > 0:26:05Ah, right, now, do you want me to give you a hand with this?
0:26:05 > 0:26:07- No, got it. - Oh, very keen, aren't you?
0:26:07 > 0:26:09- Just doing my job. - Senior staff nurse Freeman
0:26:09 > 0:26:10does have a nice ring to it.
0:26:13 > 0:26:16Yes, unfortunately colon cancer has a nasty habit
0:26:16 > 0:26:19of metastasizing to the lung.
0:26:19 > 0:26:23Erm...I see you've been referred to Mrs Williams.
0:26:23 > 0:26:24Have you scheduled an appointment?
0:26:24 > 0:26:27I'm sorry, I can't seem to find anything in here.
0:26:27 > 0:26:28I decided against it.
0:26:29 > 0:26:33- You went with a different oncologist?- No.
0:26:33 > 0:26:34Right, well, I know your GP
0:26:34 > 0:26:36will have talked you through your options.
0:26:36 > 0:26:39And although there is no cure at this stage,
0:26:39 > 0:26:43chemo and radiotherapy can control growth, and relieve the symptoms.
0:26:43 > 0:26:44I've got other priorities right now.
0:26:44 > 0:26:47Sorry, er... Mr French's wife is at Reception.
0:26:47 > 0:26:49OK, Lofty, would you bring her up to speed?
0:26:49 > 0:26:52I'm sure your wife will want to be part of this conversation.
0:26:52 > 0:26:54Excuse me? No, I'd rather my wife
0:26:54 > 0:26:56wasn't informed of my condition, thank you.
0:26:57 > 0:27:01Sorry, are you saying she doesn't know about your diagnosis?
0:27:01 > 0:27:03No. And I'd like to keep it that way, thank you.
0:27:03 > 0:27:05- You want me to lie? - Lofty, thank you.
0:27:05 > 0:27:07Mr French, I would strongly advise against...
0:27:07 > 0:27:10- It's his decision. - Andrea, please.
0:27:10 > 0:27:12Not all your patients need spoon-feeding, Connie.
0:27:16 > 0:27:18Mr French, are you in any pain?
0:27:18 > 0:27:21Do you have any symptoms my team need to know about?
0:27:21 > 0:27:24I feel OK. Perfectly fine. Thank you.
0:27:26 > 0:27:28Right, take the ibuprofen every four hours,
0:27:28 > 0:27:31it'll help lower your temperature and reduce inflammation.
0:27:31 > 0:27:33Sorry, Lily, have you seen Mrs Beauchamp?
0:27:33 > 0:27:37In Resus with some hotshot heart surgeon...and your brother.
0:27:37 > 0:27:39- Right.- Any breaches?
0:27:39 > 0:27:41- Maybe. - Come on, Ethan.
0:27:41 > 0:27:44Mrs Beauchamp promised rewards if we hit our targets.
0:27:44 > 0:27:46Yeah, well, whatever happened to slow and steady
0:27:46 > 0:27:48- winning the race, eh? - That's a fairy tale.
0:27:50 > 0:27:52Thanks, but no, thanks.
0:27:52 > 0:27:53Actually, I've got to run something
0:27:53 > 0:27:55- by Mrs Beauchamp. - Oh, OK, yeah, she'll love that(!)
0:27:55 > 0:27:58Why don't you get her to tie your shoelaces while you're at it?
0:27:58 > 0:28:00I wish you'd be a little more tactful in front of my team.
0:28:00 > 0:28:03Oh, please, tact is for people who lack wit.
0:28:03 > 0:28:06- Should we go straight to lunch? - Excuse me. Sorry.
0:28:06 > 0:28:08Ethan. Meet Andrea Somerton.
0:28:08 > 0:28:10- Ravenous cardiothoracic surgeon. - What can I do for you?
0:28:10 > 0:28:13- I have a child protection issue. - Ah, cherry on the cake.
0:28:13 > 0:28:15Sorry, I'm going to have to take this.
0:28:15 > 0:28:18- I know, duty calls. - Erm, Cal?
0:28:18 > 0:28:20Yeah, I've got this.
0:28:20 > 0:28:23So...when will I stage my intervention now?
0:28:23 > 0:28:25- Oh. It'll have to be dinner. - Somewhere expensive?
0:28:25 > 0:28:27- Oh, exorbitant. - ANDREA CHUCKLES
0:28:27 > 0:28:28Right, Dr Hardy.
0:28:28 > 0:28:32Yeah, I have a nine-month-old possible NAI with broken ribs
0:28:32 > 0:28:35and a bucket handle fracture of the femur.
0:28:35 > 0:28:38She's been with the same foster mother for the past four months.
0:28:38 > 0:28:40And did she offer any plausible explanation?
0:28:40 > 0:28:42No, not yet, but...
0:28:42 > 0:28:44No buts, Dr Hardy. We can't ignore three broken ribs
0:28:44 > 0:28:47and a fractured femur in a nine-month-old.
0:28:47 > 0:28:50I take it you've spoken to the child protection registrar?
0:28:51 > 0:28:53Ah, yes, yes, I have, he's on his way.
0:28:53 > 0:28:56Sorry, did you say three broken ribs?
0:28:56 > 0:28:59Non displaced fracture of the second, third and eighth rib.
0:28:59 > 0:29:01Right... This is a chest X-ray that I took earlier today
0:29:01 > 0:29:06when I was screening for sepsis, with the eighth rib still intact.
0:29:06 > 0:29:08- You're sure this is hers? - Absolutely positive.
0:29:08 > 0:29:09Excuse me.
0:29:11 > 0:29:13Well, if both sets were taken today,
0:29:13 > 0:29:15then the third fracture happened while she was here.
0:29:15 > 0:29:16Did you press on her chest?
0:29:16 > 0:29:19Yes, we had to hold her while we were performing a lumbar puncture.
0:29:19 > 0:29:21OK, we could be looking at osteo imperfecta.
0:29:21 > 0:29:24But there were no clinical signs, no features to indicate...
0:29:24 > 0:29:28They'll confirm the diagnosis when she gets upstairs, just hold off on any further action, OK?
0:29:31 > 0:29:33I'm OK, love, honestly.
0:29:33 > 0:29:34Did you want some privacy so you two can talk?
0:29:34 > 0:29:37It's not him that wants talking to.
0:29:37 > 0:29:39- Where is she? - Oh, Kayleigh, please...
0:29:39 > 0:29:43You get too involved, with her especially.
0:29:43 > 0:29:45She doesn't have anybody else, love.
0:29:45 > 0:29:47And what about your daughters?
0:29:47 > 0:29:49Do you ever stop and think about them?
0:29:49 > 0:29:51Charlotte Chandler, I want to see her.
0:29:51 > 0:29:54- I don't think that's... - Your husband needs you here.
0:29:54 > 0:29:57He needs his head read. That girl is nothing but trouble.
0:29:57 > 0:30:00We could grab you a chair... nice cup of tea?
0:30:00 > 0:30:03Oh, forget it! I'll find her myself.
0:30:03 > 0:30:05- Robyn, could you stop her, please? - Mrs French! Mrs French!
0:30:05 > 0:30:08The police should be dealing with this, all right?
0:30:08 > 0:30:11Nice try, mate, but it's really none of your business.
0:30:11 > 0:30:13- Ow!- OK. It's OK.
0:30:18 > 0:30:21You think you've got me all figured out, don't you?
0:30:21 > 0:30:22Not at all.
0:30:24 > 0:30:28For your information, I've got a job, a flat, a car.
0:30:28 > 0:30:29I'm not who you think I am.
0:30:29 > 0:30:32- Why do you care what I think?- Nice one.
0:30:32 > 0:30:36- Fancy yourself as a therapist? - No, I'm just trying to understand.
0:30:36 > 0:30:39A family history of addiction, abuse, neglect,
0:30:39 > 0:30:43- other traumatic experiences in childhood.- OK.
0:30:43 > 0:30:45But I'm clean now.
0:30:45 > 0:30:47- I'm getting "help." - Good, I'm glad to hear it.
0:30:47 > 0:30:49Mrs French, please, leave this to the police!
0:30:49 > 0:30:52You! Stay away from my husband!
0:30:52 > 0:30:54- And this is...? - My key worker's wife.
0:30:54 > 0:30:58And I'm not leaving until she admits it was all her fault.
0:30:58 > 0:30:59I will! I've been trying to!
0:31:02 > 0:31:05I was in trouble. I needed his help.
0:31:05 > 0:31:07Oh, for a change(!)
0:31:07 > 0:31:09He didn't want anything to do with it.
0:31:09 > 0:31:12- And you'll say all this to the police?- As soon as I can.
0:31:12 > 0:31:14OK, I just need another ten minutes here.
0:31:14 > 0:31:17- Robyn, could you give me a hand? - Yeah. I'll be straight back.
0:31:17 > 0:31:19Let's go get you a nice hot drink or something, OK?
0:31:20 > 0:31:24Did you hear that? She'll never change, they never do.
0:31:24 > 0:31:27He makes no money, works all hours. Why? For what?
0:31:29 > 0:31:32Sorry for the delay. We had to run a few more tests.
0:31:32 > 0:31:34Hasn't she been through enough?
0:31:34 > 0:31:38We believe Eve has a condition called osteogenesis imperfecta,
0:31:38 > 0:31:41- or brittle bone disease. - What?
0:31:41 > 0:31:44It's a genetic condition that causes the bones to be very weak
0:31:44 > 0:31:46and thin, so they can fracture easily.
0:31:46 > 0:31:48Will she be OK?
0:31:48 > 0:31:51Well, it's a chronic condition, which means it can't be cured,
0:31:51 > 0:31:52but it is treatable.
0:31:54 > 0:31:58- It also means...- That you thought I'd done something wrong, but I haven't.
0:31:59 > 0:32:01I am sorry.
0:32:01 > 0:32:03- OK, guys, I need to have a word with Mr French.- Sure.
0:32:06 > 0:32:08Let's hope she can talk some sense into him.
0:32:08 > 0:32:10Ah, it's got to be his decision.
0:32:10 > 0:32:12Whatever happened to in sickness and in health?
0:32:12 > 0:32:13It got complicated.
0:32:13 > 0:32:15How are you feeling?
0:32:16 > 0:32:18Yeah, I've been better.
0:32:18 > 0:32:20OK, I'm going to be brutally honest with you, Mr French,
0:32:20 > 0:32:22because I've seen the way this could go.
0:32:22 > 0:32:28You could experience confusion, fatigue, extreme pain...
0:32:29 > 0:32:32The contents of the bowel could spill into your abdomen
0:32:32 > 0:32:33and cause mass infection.
0:32:33 > 0:32:37- Your lung capacity reduced to the point of suffocation...- What?
0:32:38 > 0:32:42If you refuse medical advice and medical intervention,
0:32:42 > 0:32:44you need to do so in the full knowledge
0:32:44 > 0:32:47- of what's likely to happen. - What kind of doctor are you?
0:32:47 > 0:32:49The kind that wants the best for her patients.
0:32:49 > 0:32:51Are you religious or something?
0:32:51 > 0:32:53As I said, Mr French, palliative care can give you
0:32:53 > 0:32:55a better quality of life and ease the pain.
0:32:56 > 0:32:59If you have no care for yourself, think about your wife
0:32:59 > 0:33:01and what you are about to put her through.
0:33:06 > 0:33:09Eve will need to be admitted, so she'll stay overnight at least.
0:33:09 > 0:33:12If she is diagnosed with OI she'll then
0:33:12 > 0:33:14be referred to orthopaedics as well as
0:33:14 > 0:33:17metabolic and genetic specialists.
0:33:17 > 0:33:19Rachel, does...?
0:33:19 > 0:33:21Are you all right?
0:33:22 > 0:33:24Rachel?
0:33:25 > 0:33:28- You spoke to her?- I hope they lock her up and throw away the key.
0:33:29 > 0:33:32What, what...? What did she say?
0:33:32 > 0:33:35- Easy, easy. - She's making a statement.
0:33:35 > 0:33:37She's telling them it was all her idea.
0:33:37 > 0:33:39No, no, wait, you've got to stop her, please.
0:33:39 > 0:33:41- Please... - HE WHEEZES
0:33:41 > 0:33:45Why? Why would I...? What is it about her, Terry?
0:33:45 > 0:33:47Who is she to you?
0:33:47 > 0:33:49- Sats only 90%.- Right, let's repeat the blood gases.
0:33:49 > 0:33:52Can I get another CT and an echo please?
0:33:53 > 0:33:56Sorry. Does he have a history of heart problems?
0:33:56 > 0:34:00No, nothing like that. I thought it was his lungs?
0:34:00 > 0:34:02So what kind of trouble are you in?
0:34:02 > 0:34:04Must be pretty bad to pull a stunt like that in broad daylight
0:34:04 > 0:34:06with your drugs counsellor.
0:34:06 > 0:34:09It was a choice car, good spec, no witnesses.
0:34:09 > 0:34:11And it was all your idea?
0:34:12 > 0:34:14- Like I said. - So why weren't you driving?
0:34:14 > 0:34:17Must have been hard to get Terry behind the wheel.
0:34:17 > 0:34:19Whatever. Yeah, it was.
0:34:19 > 0:34:22And you think the police will buy your story?
0:34:22 > 0:34:24- Don't see why not. - You must owe him a lot.
0:34:24 > 0:34:27Yeah, sure, I was blind and now I can see.
0:34:27 > 0:34:31- Oh, come on - the job, the car... - I'm a valuable member of society!
0:34:31 > 0:34:36It's hard isn't it? Moving forwards, forgiving yourself?
0:34:36 > 0:34:38- Like you know.- She knows. She started from scratch
0:34:38 > 0:34:41when her husband died. She's brave and amazing.
0:34:41 > 0:34:46What? So you think I can transform - sprout wings and fly?
0:34:46 > 0:34:49I think you should talk to Terry, before you talk to the police.
0:34:49 > 0:34:53- Why? You think he'll change my mind? - Maybe.
0:34:53 > 0:34:56But the two of you definitely need to work on your story.
0:35:02 > 0:35:03OK, what've we got?
0:35:03 > 0:35:07The CT shows that there are small tumour deposits in myocardium
0:35:07 > 0:35:10and what looks like a pericardial effusion.
0:35:10 > 0:35:12And this could be either malignant or traumatic.
0:35:12 > 0:35:15Tumour? What tumour?
0:35:15 > 0:35:19The echo confirms a large area of fluid around the heart
0:35:19 > 0:35:21and echo dense material within it.
0:35:21 > 0:35:25- This is compromising his heart function.- Cardio shock?- Mmm.
0:35:25 > 0:35:27His BP's falling and his pulse is becoming rapid and weak.
0:35:27 > 0:35:29We'll need to drain the effusion.
0:35:29 > 0:35:31A percutaneous drain will probably block.
0:35:31 > 0:35:36So he will need a pleuropericardial window to stop it re-accumulating.
0:35:36 > 0:35:39In the meantime, we'll need to support his circulation.
0:35:39 > 0:35:41How do you suppose we do that?
0:35:41 > 0:35:44It's unconventional, but an IABP would
0:35:44 > 0:35:46certainly stabilise him so we can get him to theatre.
0:35:46 > 0:35:49- What? Here in the ED? - Mmm. I've done it dozens of times.
0:35:51 > 0:35:53- OK. You're the boss. - Watch and learn, Cal, this is what
0:35:53 > 0:35:56- my experience brings to the table. - Mrs Beauchamp, please...
0:35:56 > 0:35:59I'm going to insert an intra-aortic balloon pump to increase
0:35:59 > 0:36:02the oxygen supply to your husband's heart.
0:36:02 > 0:36:03And that will make him better?
0:36:03 > 0:36:06It will certainly buy us some time. All right, Lofty?
0:36:06 > 0:36:09Would you take Mrs French to the relatives' room, please?
0:36:11 > 0:36:15Tess. Sorry to interrupt. I, erm...
0:36:15 > 0:36:19I wanted to apologise for this morning...and for this afternoon.
0:36:19 > 0:36:21And I'm just wondering if...
0:36:21 > 0:36:24- Does this involve the Hope and Anchor?- Yeah.
0:36:24 > 0:36:25I'd like to buy you a drink.
0:36:25 > 0:36:27Not part of my game plan, I'm afraid.
0:36:27 > 0:36:31Right. Is this part of the whole being professional thing?
0:36:31 > 0:36:33Yeah, part of the whole being professional thing, exactly.
0:36:34 > 0:36:38You're not going to want to miss this. Mrs Beauchamp's doing an IABP.
0:36:38 > 0:36:40- What, in Resus? - Yeah. Where else?
0:36:42 > 0:36:44Ridiculous.
0:36:44 > 0:36:47Are you opposed to the clinical lead showcasing her skills?
0:36:47 > 0:36:50No, she's just showboating to her cardiologist friend in there.
0:36:54 > 0:36:56I'm sorry. I don't know...
0:36:57 > 0:36:59I can't explain it.
0:36:59 > 0:37:00But you're feeling a bit better?
0:37:00 > 0:37:02Maybe I just needed some fresh air.
0:37:03 > 0:37:06Do you mind, you mentioned that you had trouble sleeping?
0:37:06 > 0:37:08- That's nothing new. - When did that start?
0:37:10 > 0:37:13A few years ago. With the chemo.
0:37:13 > 0:37:15And it hasn't improved at all?
0:37:15 > 0:37:17I know, it sounds stupid.
0:37:17 > 0:37:21Now that there's nothing to worry about, I shouldn't be...
0:37:21 > 0:37:22Are you having any bad dreams?
0:37:24 > 0:37:26About anything in particular?
0:37:26 > 0:37:27It sounds silly.
0:37:29 > 0:37:31About the chemo, the radiation...
0:37:31 > 0:37:33about going through it over again.
0:37:33 > 0:37:36Sometimes it's all I can think about.
0:37:36 > 0:37:37How does it make you feel?
0:37:37 > 0:37:40Helpless. I get this tightness in my chest.
0:37:41 > 0:37:43I know it doesn't make any sense.
0:37:45 > 0:37:47Actually, it does.
0:37:47 > 0:37:50Cancer sufferers are at risk from post-traumatic stress disorder.
0:37:51 > 0:37:53Isn't that what soldiers get?
0:37:53 > 0:37:55The shock of having a life-threatening disease
0:37:55 > 0:37:56can leave the same kind of scar.
0:37:57 > 0:38:00This may also explain what's happened with Eve.
0:38:00 > 0:38:02I doubt that.
0:38:02 > 0:38:07One of the symptoms of PTSD is the avoidance of people, events,
0:38:07 > 0:38:10places that are connected with the trauma.
0:38:10 > 0:38:13Which is why perhaps you put off seeking medical treatment
0:38:13 > 0:38:16and why you were reluctant for Eve to have any tests.
0:38:17 > 0:38:19- You see, the detachment... - I'm so sorry.
0:38:20 > 0:38:24No, If I'm right about this, the very fact that you came here today
0:38:24 > 0:38:26proves how much you care about Eve.
0:38:31 > 0:38:34Scalpel please. First...
0:38:35 > 0:38:37..we puncture the femoral artery.
0:38:37 > 0:38:41Sorry, Terry, you may feel a little bit of pressure here.
0:38:41 > 0:38:45And then we feed the guide wire up to the ascending aorta.
0:38:45 > 0:38:50Screen on, please. Make sure it goes over the aortic arch.
0:38:50 > 0:38:52Screen off, please.
0:38:52 > 0:38:56Remove the needle and then insert the introducer sheath over the wire.
0:38:56 > 0:38:59Again, you may feel a little bit of pressure, Terry.
0:39:00 > 0:39:04Lovely. Remove the dilator.
0:39:04 > 0:39:10And finally we feed the balloon catheter over the wire
0:39:10 > 0:39:13and up to the descending aorta. Screen on, please.
0:39:17 > 0:39:18Screen off.
0:39:18 > 0:39:20All right, balloon's in place, that's lovely.
0:39:20 > 0:39:22OK, let's remove the guide wire.
0:39:24 > 0:39:26Attach those to the pump, please.
0:39:27 > 0:39:28Aspirate?
0:39:33 > 0:39:38Screen on. Screen off. Perfect. All right.
0:39:38 > 0:39:40The balloon catheter is programmed to inflate
0:39:40 > 0:39:42and deflate in relation to the cardiac cycle.
0:39:42 > 0:39:46- So it assists with every heartbeat. - And he'll get a normal blood flow?
0:39:46 > 0:39:50We have just reversed the pathophysiology of a failing heart.
0:39:50 > 0:39:54So the results can be seen in a matter of beats, yes.
0:39:54 > 0:39:55All right, Terry, well done.
0:39:55 > 0:39:58The balloon is in place and I'm happy with that.
0:39:58 > 0:40:00OK?
0:40:00 > 0:40:02- Come on through. - I'm not sure what to...
0:40:04 > 0:40:07Look, she's delicate, but she's not made of glass, OK?
0:40:12 > 0:40:13Hi, there.
0:40:15 > 0:40:16I've missed you.
0:40:17 > 0:40:19Eve's a very special baby.
0:40:19 > 0:40:22Things will be different... now that I know something's wrong.
0:40:22 > 0:40:25Rachel, it's not just about Eve.
0:40:25 > 0:40:27I'll get help. I'll do whatever you want.
0:40:29 > 0:40:31It's not like a broken bone, unfortunately.
0:40:31 > 0:40:33We don't know how long you'll take to heal.
0:40:35 > 0:40:37I just want what's best for her.
0:40:41 > 0:40:44I started the celebrations too soon, didn't I?
0:40:44 > 0:40:47No. Your remission is an amazing achievement.
0:40:50 > 0:40:51But I can't take her back.
0:40:54 > 0:40:55I'm not ready.
0:40:58 > 0:40:59I'll let social services know.
0:41:05 > 0:41:06EVE COOS
0:41:08 > 0:41:12Thank you, Dr Hardy. For making it...
0:41:15 > 0:41:18For making ME make sense.
0:41:20 > 0:41:23You take your time, OK? It's important to say a proper goodbye.
0:41:32 > 0:41:38No, Dave, we can't just reschedule. It's the one with the balconies.
0:41:38 > 0:41:41Look, let's just forget it, then, yeah?
0:41:41 > 0:41:42SHE SIGHS
0:41:45 > 0:41:47Right, what do you think?
0:41:47 > 0:41:49Ah, well, mate, you look like a young...
0:41:49 > 0:41:50Steve McQueen...ish.
0:41:51 > 0:41:54- What time does happy hour start? - Ah, 15 minutes.
0:41:54 > 0:41:57- Great. Should we get warmed up? - Hey, hang on!
0:41:57 > 0:41:59You're supposed to be going out with your fiance.
0:41:59 > 0:42:01Yeah, I was, Jeff, but he's cancelled.
0:42:01 > 0:42:03- Because he's busy at work, apparently.- Whoa, it's happy hour.
0:42:03 > 0:42:06You can't go to happy hour with a mush like that, can you?
0:42:06 > 0:42:08- Watch me.- No, you can't, I'll come with you.
0:42:08 > 0:42:09Don't even think about it, Jeff.
0:42:09 > 0:42:11You are going to go out with that Samantha
0:42:11 > 0:42:16and just show her what a kind, caring, amazing guy you are.
0:42:17 > 0:42:21- Yeah, but... - No buts, Jeff.
0:42:23 > 0:42:25Come on then, Mac. I'm buying.
0:42:27 > 0:42:29Right, well, let the pina see the colada.
0:42:43 > 0:42:46I wanted to check you were all right. They said it would be OK.
0:42:46 > 0:42:50- I hope this is the last time. - Don't worry, I'm long gone.
0:42:50 > 0:42:53- I can't let you do this, Chaz. - It's no biggie.
0:42:55 > 0:42:56It was me.
0:42:57 > 0:43:01- All of it. - Right, so why's she confessed?
0:43:01 > 0:43:05Because she's a recovering drug addict who doesn't know her worth.
0:43:07 > 0:43:09I shouldn't have got you involved.
0:43:09 > 0:43:11Um...we're on the clock here, so...
0:43:11 > 0:43:14So, thanks for the offer, Chaz,
0:43:14 > 0:43:17but I really do need to set the record straight.
0:43:18 > 0:43:21- Can we have just a minute, please? - Of course.- Thank you.
0:43:24 > 0:43:26What's going on, Terry?
0:43:28 > 0:43:29I've got cancer.
0:43:32 > 0:43:34Right, OK...
0:43:34 > 0:43:38so you and your junkie friend stole a car because you've got cancer?
0:43:38 > 0:43:39Do we need the doctor back in here?
0:43:39 > 0:43:42- Kayleigh, please...- No, can't you see that doesn't make sense?
0:43:42 > 0:43:44I've got six months.
0:43:44 > 0:43:48I got two teenage girls and a house that isn't paid for.
0:43:50 > 0:43:54- I was just trying to sort things out, love.- Six months?
0:43:54 > 0:43:55Yeah.
0:43:55 > 0:43:58What about chemotherapy? Radiotherapy?
0:43:58 > 0:43:59Ah, no, it's too late.
0:44:01 > 0:44:04- Six months? - I'm so sorry.
0:44:04 > 0:44:06Why didn't you tell me?
0:44:07 > 0:44:09Because that would have made it real.
0:44:11 > 0:44:14What can I do?
0:44:14 > 0:44:17- There's nothing anyone can do. - There must be something.
0:44:18 > 0:44:20You can hold my hand...
0:44:20 > 0:44:22and you can tell me you love me...
0:44:22 > 0:44:23SHE SOBS
0:44:32 > 0:44:34Tamzin and Big Mac are in the pub already.
0:44:34 > 0:44:36Oh, hurry up, Rita.
0:44:36 > 0:44:38ALL: Hey!
0:44:38 > 0:44:40- What's the matter, Max, you thirsty? - If you're buying.
0:44:40 > 0:44:44- Oh, I'm buying.- Then I'm thirsty. - I'll see you in five.
0:44:44 > 0:44:46So, who won the chess game in the end?
0:44:46 > 0:44:49It was put on hold because of Mrs Beauchamp's surgery.
0:44:49 > 0:44:51Hang on, maybe we should invite her along?
0:44:51 > 0:44:55- Have you lost your mind? - Nah, I'll be back in a bit.
0:44:55 > 0:44:58Right! Beer waits for no man. Come on, we're away!
0:44:58 > 0:44:59Help me, please!
0:44:59 > 0:45:01That's Mia. One of Cal's patients.
0:45:01 > 0:45:02Help me, please! I need a doctor!
0:45:02 > 0:45:05Hello. Mia, I'm Dr Hardy. What's happened?
0:45:05 > 0:45:07Where's Dr Knight? I need to see Dr Knight.
0:45:07 > 0:45:10Let's get you a chair first and see if we can slow that breathing down.
0:45:10 > 0:45:13My bridesmaid's still in London. She quit...by text.
0:45:13 > 0:45:16I want you to breathe slowly through your nose for five seconds.
0:45:16 > 0:45:18- He said he'd make me beautiful. - OK, in...
0:45:18 > 0:45:21I'll put your pint on ice, mate.
0:45:21 > 0:45:22Ethan, you all right here?
0:45:25 > 0:45:28You must be sick of this place, all those extra shifts.
0:45:28 > 0:45:29Yeah, listen, about that...
0:45:29 > 0:45:33- TOGETHER: I needed the money. - You needed the money.
0:45:36 > 0:45:40No, tomorrow is not good enough. Well, then I want you to
0:45:40 > 0:45:44send it to me as soon as you get it. Thank you. All yours.
0:45:44 > 0:45:47Are you sure? Your puppy dog's waiting for you out there.
0:45:48 > 0:45:51I hear you fitted an IABP in Resus today.
0:45:51 > 0:45:52- Yes, I did. - Was that for my benefit?
0:45:52 > 0:45:57Hardly. Andrea, this is the front line. My expertise saves lives.
0:45:57 > 0:46:01Oh, spare me. Neither of us became doctors to save lives.
0:46:01 > 0:46:04It was about power, ambition, making the right connections.
0:46:04 > 0:46:08And my being here makes an enormous difference to this department.
0:46:08 > 0:46:11- So would a new coffee machine. - True, yes.
0:46:11 > 0:46:13This isn't the right place for you, Connie.
0:46:13 > 0:46:15You're losing your edge, going soft.
0:46:15 > 0:46:17You may prefer your patients anaesthetized...
0:46:17 > 0:46:19My point exactly! You never used to concern yourself
0:46:19 > 0:46:21with your patients or your precious team.
0:46:22 > 0:46:25Speaking of which, you'd better throw the schnauzer a bone.
0:46:27 > 0:46:29- Miss Somerton. - She's all yours, Fido.
0:46:29 > 0:46:31This had better be good, Dr Knight.
0:46:31 > 0:46:35I just thought you and Andrea would like to join us over the road.
0:46:35 > 0:46:38Celebrate another first for the ED since you stepped up?
0:46:39 > 0:46:43It's been a real inspiration working under you today and I just...
0:46:43 > 0:46:46Dr Knight, what happened? You said you'd come back and see me.
0:46:46 > 0:46:50- This your patient? - I'm getting married in two weeks.
0:46:50 > 0:46:52Dr Hardy, what do you see?
0:46:54 > 0:46:55Don't be shy.
0:46:56 > 0:46:59- Periorbital haematoma and oedema. - Causes?
0:46:59 > 0:47:02- Base of skull and orbital floor fractures.- Cubicles, please.
0:47:04 > 0:47:08Dr Knight, in your haste to move on to the next patient, did you
0:47:08 > 0:47:12run a CT or any facial views to rule out the possibility of a fracture?
0:47:12 > 0:47:14- Dr Knight?- No.- No.
0:47:16 > 0:47:18You're a malpractice suit waiting to happen.
0:47:18 > 0:47:19Dr Hardy, would you mind staying behind
0:47:19 > 0:47:22- and helping your brother out with this mess?- Yes, of course.
0:47:22 > 0:47:24Right, I will see you in my office
0:47:24 > 0:47:26first thing in the morning, and don't be late.
0:47:29 > 0:47:31- You shouldn't have done that, mate. - Done what?
0:47:32 > 0:47:34Sacrificed your queen.
0:47:40 > 0:47:42Hello? Sorry about that, it's packed in there,
0:47:42 > 0:47:44just having a quick drink to celebrate.
0:47:47 > 0:47:48What do you mean, he's not signed the papers?
0:47:48 > 0:47:52He can't defend it, there is no defence, he knows that.
0:47:54 > 0:47:56- Rita? Is everything OK? - Yeah, it's fine.
0:47:56 > 0:47:58Only we're finally getting served and you said...
0:47:58 > 0:48:01Two minutes, just give me two minutes.
0:48:02 > 0:48:05No. No, no, no, no, no. No. No. You tell him no, OK?
0:48:05 > 0:48:07I refuse to be dragged back through the courts.
0:48:07 > 0:48:09I want this over. I want my life back.
0:48:10 > 0:48:12I want a divorce!