First Impressions Casualty


First Impressions

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-Samantha Kellman.

-Ah, OK. Jeff Collier, paramedic.

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Humble pie. Breakfast, lunch and dinner.

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-What, and you don't think I'm owed an apology?

-You joking?

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-I supported you through all of that.

-Which I'm grateful for,

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

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-Thanks for being my "knight in shining armour."

-Hardly.

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I just, wondered, you know,

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whether we might be able to go for a coffee or something?

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Did you know about Rita? Apparently she used to be married.

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Husband died.

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

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That's just what this place needs.

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Let's try this one first, eh?

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Oh, you'll feel better soon, Evie, I promise...

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BABY CRIES

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Oh! Mr Knapton, it's me, Rita Freeman - again, sorry.

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I'm just ringing to double check today

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is the day for all the paperwork.

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Oh, that's great. No, I'm just going to do a shift at the hospital,

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-but if you give me a ring when it's complete...

-Hey! Break a leg!

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You know it's Tess' first day back, don't you?

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Er, yeah, that'd be great. OK, thank you, bye!

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Who are you and what have you done with my husband?

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I've been meaning to do it for months.

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Trellis up last weekend, window locks yesterday...

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Whatever it is you've done, you're forgiven.

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Do you know how amazing you are?

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DOORBELL RINGS Hold that thought.

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RINGING CONTINUES

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Terry! HE SIGHS AND COUGHS

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You can go now, yeah?

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Girls will be up soon. I want that junkie out of my house.

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EX-junkie, thanks very much.

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-If you're in trouble, I can help you.

-Thanks, but there's no need.

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-Because?

-Because this isn't how it works, Chaz.

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Chaz, hey...

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QUICK BLAST OF SIREN

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Morning, boys.

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Morning, Mrs B. I'm loving those shoes.

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It's Mrs Beauchamp, and thank you.

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Another day at the coalface, are you ready for it?

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-Yup. Absolutely.

-Ready, willing and able.

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I'd like to see you both in my office in 15.

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What do you think that's about?

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Perhaps she wants more of your sartorial compliments.

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Or it could be another debrief.

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-See you at group next week then, yeah?

-Why are you being like this?

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This is not a good time, Chaz.

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-She doesn't know what you're planning, does she?

-I'm sorting it.

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Nobody's going to do business with you, Terry.

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And I'll figure something out.

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-If I made a few introductions...

-Hey, hey! No.

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I don't want you getting involved.

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But you don't know what you're doing - at all.

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And that's my problem.

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"A problem shared is a problem halved."

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-You taught me that, remember?

-Mmm...so you do listen?

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When it's good advice. You should try it.

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Trust me.

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-Tess! Welcome back.

-Think I'll recognise the place?

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Oh, I don't know. Connie's probably monogrammed the bed pans overnight.

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-I thought she was welcome to it.

-She is. Totally.

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Anyway, enough about that. How are you? Have you got a game plan?

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I wasn't aware I needed one.

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-Aren't you going to address the whole Fletch thing?

-Absolutely not.

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It would put a stop to the gossip.

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I'm here to do the best job I can and I'm going to be professional.

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MOBILE PHONE RINGS

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Why don't you just give me the basics? I can take it from there.

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-OK. Let's start with how much you need.

-Eh?

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-Terry, how much do you need?

-100 grand.

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You what? 100 grand?!

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You got a gambling problem or something?

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Yeah, something like that.

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You'll need to go for high-end gear - BMWs, Mercedes...Land Rovers.

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But they're all kitted out with immobilizers and alarms

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-and stuff, aren't they?

-Been doing your homework?

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I have, as it happens. This is a big deal for me.

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What did you say to me last week?

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"Don't wait for your ship to come in, swim out to it."

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Ah, sounds about right. Now where we going?

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-Getting your feet wet.

-What are you on about?

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We're going shopping, big man.

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No, it is important, because if we don't get it done today,

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we're not going to get it done at all, are we?

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Well, I was thinking ivory or snow. Maybe picket fence?

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No, they are not all the same, Amy...

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-This car is even better.

-Eh?

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You're not taking the job of my bridesmaid very seriously, are you?

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You need two people, but it's the cleanest way -

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no CCTV, no witnesses and you can pick your target.

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-Hold on. What if...?

-I'll do the talking. You move over.

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I'll meet you on Stanley Street.

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-Wait, wait, wait, how will I know when...?

-You'll know.

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What the hell?!

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-Great, that's just great!

-I'm so sorry. Are you all right?

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-What do you think?

-That was totally my fault.

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My dad kept telling me to slow down.

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Well, I'll need your insurance details, your number.

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Yeah, of course. It's my dad's car, so you'll need to get them from him.

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No, wait!

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Ah!

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TYRES SCREECH AND ENGINE ROARS

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KNOCK ON DOOR Come in.

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-A little pick-me-up.

-Ooh. First of the day, lovely.

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How do you look this good before coffee?

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So...budgets are the new black,

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and WE are very much in the red... and bleeding.

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More like haemorrhaging.

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So...how about a little challenge to help stem the flow?

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There would be rewards, of course.

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Either of you up for the challenge?

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-Yeah, of course.

-I'm in.

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Both of you? Excellent. Well, that's it, thank you very much.

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Keep up the good work, Dr Hardy, no more breaches.

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-Oh, not if I can help it.

-Oh, that's not fighting talk, is it?

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-Cal, see if you can awaken his competitive spirit?

-Mm.

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-You do know those two hate each other?

-I know.

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Ah, now you're here, er... blue or lilac?

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-Erm...we can't decide.

-Blue, definitely. Matches his eyes.

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Right. Well, I was going with the lilac, but, er...

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No, no, blue, blue, definitely blue.

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OVER RADIO: 'Control to 3006, emergency call, multi-storey car park

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'on the corner of Junction Road, possible assault,

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'injuries unknown, police have been informed.'

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3006 to control, received, we're on our way, over.

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-Tess! Good to have you back.

-Thank you. Was there something else?

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Um...yes. Just between us.

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A former colleague, Andrea Somerton, is over from the US,

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foisting herself on CCU while she sets up a fellowship...

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-And she's paying us a visit?

-Oh, undoubtedly, she'll punch in

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below stairs once she's finished brown-nosing Guy Self.

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I'll make sure she gets a very warm welcome.

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Forget the warmth. I want everyone on top of their game.

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At best, this department is world-class,

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-and I want her to see that.

-'Course.

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Thank you. You've probably got lots to get on with, so...

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-Mmm.

-Miss breakfast?

-Mmm.

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-MOUTH FULL:

-Slept through my alarm, first time in years...

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Where'd you get that?

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I found it in a cupboard that's being cleared out.

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Thought my brother might fancy a game.

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-Being a bit literal as usual, Cal.

-Just following orders.

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Don't see how a game of chess

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-is going to help us with the budget.

-Yeah, not how you play.

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How about that?

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-Oh, typical.

-How so?

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The king-pawn opening -

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choosing violent tactics over strategic manoeuvring.

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Play nice, you two.

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-Oh! There you are.

-What? Am I in trouble?

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-Tess is on the warpath.

-Yeah, she wants us to restock the cubicles

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and clear all of this backlog.

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What backlog? Ah, when did it get so busy?

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Well, it's the triple threat, isn't it?

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Summer parties, summer holidays...

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-Summer loving.

-Ooh!

-Eugh! As if.

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-What's got into him?

-It's secret.

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-New girlfriend apparently.

-Yeah, until she gets a puncture.

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Break time already?

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I hope punctuality isn't key to your application, Rita.

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-Ash said stick to facts.

-Just as well. And Lofty?

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The inventory? Yeah, I'm onto it, yeah.

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Don't make me ask you again.

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Is it me or is she getting scarier every day?

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-Well, I am definitely Team Fletch.

-Robyn!

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-Oh, come on!

-Right, OK. Happy hour's on me later.

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Yeah, right, like we'll have the time.

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I've got a good feeling about today. Rosemary Leaper?

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Glad you could keep up!

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What just happened? That woman! She could have...

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Chill. Look, don't worry. Someone will have found her, called 999.

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Yeah, but, how...?

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So how long before the police...? I mean, won't they be onto us?

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Dunno. Didn't do jacking really. Mostly lifted sat navs, stereos...

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What?

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I was looking for my next fix, you want 100 grand.

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-So what happens next?

-Park her up in your garage,

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-wait until the heat dies down.

-LAUGHING:

-No, no.

-"No"?

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No! The sooner you make those introductions,

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the sooner I can do this without you.

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As if! You need me and you know it.

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Keys. I'll drive.

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She's just being a mate, I'm telling you.

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-OK. Eh...what colour are my eyes?

-What?

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What colour are my eyes? You've known me for six years.

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Ah, here we are.

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-I spy with my little eye...

-Oh, come on mate, we don't have time for this.

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..something that'll end in tears.

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Just as long as something starts, you know?

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I don't care how it ends.

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And you're happy with that?

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-I don't think I have any choice.

-Help me, please, I'm getting married!

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Great, that's all we need.

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All right, sweetie. I'm Jeff, I'm a paramedic.

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-Can you tell me your name?

-My swatches! They've taken my swatches!

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Right, you're dealing with that, are you? Marvellous. OK.

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Let's have a little look at you, then.

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She's giving her team a really hard time

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and she practically bit my head off earlier.

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-Bit of a train wreck, is she?

-Unbelievable.

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SHE SIGHS DISAPPROVINGLY

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Hello, are you all right?

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Yes...er, no. It's Eve, she's not been well.

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Has she got a temperature? Why don't you come in?

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-WOMAN:

-I need a doctor!

-I don't want to be a nuisance...

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Don't worry, you've come to the right place.

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-Better to be safe than sorry. What's your name?

-Rachel.

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Rachel Clarkson. I'm her foster mother.

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OK, well follow me, Rachel. Don't worry, we don't bite.

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-I hear the sibling rivalry's hotting up.

-What's this?

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-There's a chess game in the staff room.

-Ah...interesting.

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And if Lofty and I were to have a little wager?

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-I'm always a safe bet.

-Safe enough to risk your last fiver?

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Ah, thank you.

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-WOMAN:

-I really want to see someone now!

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-Allow me to demonstrate. Lofty.

-Please, please!

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-What have we got?

-This is Mia Cornwell, 27 years old.

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Bruised and swollen right eye. GCS has been 15 throughout.

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-Right, into triage, please.

-My face! You've got to fix my face!

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Ah... Mia's getting married in two weeks.

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Oh...joy.

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Hello, I'm Dr Hanna. Are you down from CCU?

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Oh, a doctor who smokes, how refreshingly irresponsible.

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I wanted to speak to you about Mrs Austin's wound pains...

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You'd expect a bit of pain if I'd cracked your sternum open

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-and removed a couple of ribs.

-But I'm concerned it might be misaligned.

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It's muscular. Give her some ibuprofen

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and arrange an out-patient check up.

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-Right, thank you. Very helpful(!)

-Andrea? Ohh...

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-Certainly is.

-I thought you were in Boston?

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-I arrived a few days ago to sort out a fellowship.

-Oh.

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Elliot told me you were down here. I'd never have guessed.

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Oh, clinical lead... what can I say?

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So you're master of man flu, queen of colds?

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I promise you, this is where the action happens.

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-Of course, Jack of all trades.

-Shall I show you around my department?

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Please, can we have a coffee first?

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Oh, God, yes, of course.

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OK, try and relax.

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-TEARFUL:

-Relax?! Didn't you hear? I'm getting married in two weeks!

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And it's our job to make sure you look as beautiful as possible.

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-I'll get the dressing.

-Yeah. Just sit forward.

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Great. Up on the bed, please.

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SHE SOBS

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If you could stay still as you possibly can for me.

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Everything's ruined! Completely ruined!

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That's not true. Dr Knight had a proper shiner a few weeks ago...

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look at him now.

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SHE BLOWS NOSE

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Oh, OK! Unnecessary pressure around the area could cause more

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blood vessels to burst, which would give you more discoloration.

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-And we wouldn't want that, would we?

-You mean I've made it worse?

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Look, there's a lot we can do to lessen the swelling,

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but you have to help me help you.

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OK? Good.

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Let's start with a simple eye exam.

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Can you just follow my finger...

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and let me know at any time if you see double.

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Watch and learn, Lofty, my son. Watch and learn....

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Temperature's at 40.

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She's lethargic and her heart rate and breathing are up.

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Has she been like this for long?

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A few days.

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OK, we're going to need to take some bloods.

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Do you have to? She doesn't like it here.

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She's scared.

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How have things been at home? Has she been keeping you awake?

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I don't sleep much anyway. Look, I'm sure she's fine,

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-and you must be busy.

-No. We're not in any rush.

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-CONNIE:

-I think the NHS has a lot to offer.

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You certainly get what you pay for.

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What, unlike the overly expensive, under-productive system in the US?

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Socialised medicine doesn't work.

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No amount of sophistry or whining will change the fact.

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It's good to see you.

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Doctor, doctor. Ha! There should be a joke about this...

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Dr Knight, meet Andrea Somerton.

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She has just set up a centre for aortic disease in the US.

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A woman after my own heart.

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Mmm, sorry.

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So how do you and Mrs B... Beauchamp know each another?

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MOBILE PHONE CHIME

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We worked together many years ago.

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Before Connie became so fond of hard work and elbow grease.

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-Mmm.

-Oh, Guy wants a word.

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He approved the fellowship, so I'd better play ball.

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-You could give me the grand tour later?

-Yeah, of course.

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-Shout me lunch?

-Yeah. Bye.

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Her white count is 20.

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Exactly how long has Eve been running a fever?

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-Since Tuesday.

-Did you go and see your GP?

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-No.

-A child with a high temperature should be seen by a doctor

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-or nurse if you're worried.

-I didn't know that.

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I'm sure you will now.

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Eve has definitely got an infection. Because she's very hot

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and quite dry I'd like to run some tests

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and check where the infection is coming from.

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Can't you just give her some medicine? Antibiotics or something?

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We need to find out whether this is bacterial rather than viral first.

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She'll have a chest X-ray

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and then we'll perform what's called a lumbar puncture.

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-And...should I come with you?

-Yes, if you'd like to.

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You can help us get her settled, which is really important.

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-OK.

-OK, thanks.

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-Where do you think you're going?

-You said everything checked out.

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-I don't understand why I can't go.

-You've got a head injury.

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So you need to be discharged with a responsible adult.

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-Let me call your fiance.

-No! Please! He can't see me like this.

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-Oh, come on, Mia...

-I can call my bridesmaid Amy.

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OK. Do what you have to do.

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What's wrong with this picture?

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-Two broken ribs.

-I'll call social services,

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and page the child protection paediatrician.

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There could be a rational explanation.

0:16:220:16:24

There are guidelines in place, Dr Hardy.

0:16:240:16:25

Can we just wait and see what Rachel has to say first, please?

0:16:250:16:29

OK.

0:16:310:16:32

What is it? Is there something wrong?

0:16:400:16:42

We're a little concerned about some of the injuries that

0:16:420:16:44

-have shown up on Eve's X-ray.

-What kind of injuries?

0:16:440:16:47

-She has two broken ribs.

-What? How?

0:16:470:16:50

-Has she had any falls recently?

-Falls? She can't walk, so...

0:16:500:16:54

-Could she have fallen from her cot?

-No.

-Or down some stairs maybe?

0:16:540:16:57

I watch her all the time!

0:16:570:16:58

And you're the only person who looks after her?

0:16:580:17:00

The agency takes on lots of single mums and dads.

0:17:000:17:03

Why are you asking me all these questions?

0:17:030:17:05

Because Eve can't tell us what's wrong

0:17:050:17:07

or whether she's in any pain,

0:17:070:17:09

we just need to know exactly what happened.

0:17:090:17:11

I haven't hurt her, if that's what you mean.

0:17:110:17:13

We'll need to call a child protection paediatrician

0:17:130:17:16

who specialises in these kind of cases,

0:17:160:17:18

and they'll come down and they'll examine Eve.

0:17:180:17:20

But first we need to work out what's causing Eve's fever.

0:17:200:17:23

-So we'll start with the lumbar puncture.

-And then?

0:17:230:17:27

We'll take some more X-rays, a CT scan of her brain,

0:17:270:17:30

an eye exam and some clinical photographs if we need to.

0:17:300:17:32

No, please, she's so tiny.

0:17:320:17:34

Perhaps it's best if you wait in the relatives' room.

0:17:340:17:37

Can I take her? Gently does it.

0:17:370:17:40

-EVE GRIZZLES

-It's OK.

0:17:410:17:44

-So how much do you think we'll get for it?

-He said 800.

0:17:440:17:48

800?! It's worth ten times that at least.

0:17:480:17:50

Yeah, probably, if it was yours to sell.

0:17:500:17:53

I reckon we shouldn't settle for anything less than 12.

0:17:530:17:56

SHE SCOFFS

0:17:560:17:57

I don't think Al's the haggling type.

0:17:570:17:59

-What do you mean by that?

-Chill out, yeah?

0:17:590:18:02

Oh, no, look...

0:18:020:18:04

Just relax.

0:18:050:18:06

Yeah, easy for you.

0:18:080:18:10

TYRES SCREECH

0:18:100:18:11

Relax!

0:18:110:18:12

SIREN WAILS

0:18:120:18:14

Terry! Wait, stop!

0:18:170:18:19

The bike, Terry! Watch the bike!

0:18:210:18:23

TERRY COUGHS

0:18:250:18:26

Terry.

0:18:280:18:30

Terry, what's wrong? What the hell is wrong with you?!

0:18:330:18:37

Terry! Just breathe!

0:18:370:18:40

Terry...

0:18:460:18:48

Terry, look out!

0:18:480:18:50

TERRY!

0:18:500:18:51

SIREN STOPS

0:18:530:18:55

I know you're driving, but I just wanted to say

0:18:570:18:59

I'm going to try and get some beauty sleep while I wait for the doctor.

0:18:590:19:02

I don't want bags as well as bruises. Just call me when you get here, OK?

0:19:020:19:05

OK, doctor will be waiting in cubicle three for him.

0:19:050:19:08

-Tess, can I have a word?

-It's not a good time.

0:19:080:19:11

Well, it hasn't been for the last few weeks.

0:19:110:19:14

Is a bit of privacy too much to ask for?

0:19:140:19:16

-See what I mean?

-She's all right with me.

0:19:190:19:22

Oh, that's very helpful(!)

0:19:220:19:23

OK, needle's in the right place.

0:19:280:19:30

Oh, you're doing really well, sweetheart...really well.

0:19:300:19:34

EVE CRIES GENTLY

0:19:390:19:41

-Pressure's 19.

-How's it looking?

-It's clear.

0:19:430:19:47

-Would you mind taking her for her skeletal survey now, please?

-Mm-hmm.

0:19:490:19:52

I just need to plan my next move.

0:19:520:19:54

Right, Terry, that's you, my son. Next stop - Holby ED, OK?

0:19:550:19:59

Finally, here come the cavalry!

0:19:590:20:01

You all right? What've we got?

0:20:030:20:04

It's the beemer from the car jacking.

0:20:040:20:06

-Can you take care of the partner in crime, please?

-Yeah, were they KO'd?

0:20:060:20:09

No, far from it. Singing like a canary.

0:20:090:20:11

Nice. Hiya, love. I'm Tamzin, I'm a paramedic.

0:20:110:20:15

Whatever. I told the others, I'm fine.

0:20:150:20:17

I just want to talk to the police properly, on record.

0:20:170:20:20

-All right, you'll get your turn.

-I need to talk to them now!

0:20:200:20:23

Calm down! It can wait until we get to the hospital.

0:20:230:20:25

But they need to know this is all my fault, all of it!

0:20:250:20:28

OK! I'm going to treat you first,

0:20:280:20:30

I don't want you to say anything you might regret, all right?

0:20:300:20:33

Just try and keep calm for me. Thank you.

0:20:330:20:35

Come on, mate, it's not brain surgery.

0:20:350:20:37

Shouldn't you be out there scaling the coalface?

0:20:370:20:41

Erm...nope. I'm still waiting on cardiology.

0:20:410:20:45

If I mirror your move... then it's all about how you respond.

0:20:450:20:50

Well done.

0:20:500:20:52

Rachel said Eve was scared. So Eve could be mirroring Rachel.

0:20:520:20:57

Where are you going?

0:20:590:21:00

The nine-month-old presenting with a fever.

0:21:000:21:02

Ah, you're still dealing with

0:21:020:21:04

-the kid with the runny nose?

-It's complicated.

0:21:040:21:06

Cal, incoming RTC, two minutes.

0:21:060:21:09

I thought you were due to start that grand tour?

0:21:090:21:12

What better place to start than Resus? Alison, with me, please.

0:21:120:21:14

Hello.

0:21:160:21:18

I'm sorry. I should have told you where I was.

0:21:180:21:21

That's OK. Shall we get a cup of tea or something?

0:21:210:21:23

OK.

0:21:250:21:26

You said that Eve didn't like being in hospital.

0:21:270:21:29

Why do you think that is?

0:21:310:21:32

It's just a bit claustrophobic, you know...hard to breathe.

0:21:330:21:36

Did you happen to spend any time in hospital when you were a child?

0:21:370:21:41

More recent. Leukaemia. I got the all clear eight months ago.

0:21:410:21:45

Right, so not long before you started looking after Eve?

0:21:450:21:49

-She was my celebration.

-And how have you been feeling since?

0:21:490:21:53

OK. I'm OK.

0:21:530:21:55

Good. Do you mind if...? You haven't had any symptoms at all?

0:21:550:21:59

My blood count's normal. My doctor said I'm fine!

0:21:590:22:02

Your pulse is very fast, Rachel.

0:22:020:22:04

What is it that you're frightened of?

0:22:040:22:06

Can you come through to my office, please?

0:22:070:22:09

All right, what have we got?

0:22:090:22:11

Terry French. Driver of a car involved in an RTC.

0:22:110:22:13

Car hit a stationary vehicle.

0:22:130:22:15

Air bag deployed, so he's got bruising to his chest,

0:22:150:22:17

decreased breath sounds on the right-hand side.

0:22:170:22:20

BP is 108 over 72. Pulse 120. Resps 28 and sats are 92%.

0:22:200:22:25

-OK.

-OK.

-All right, straight through to Resus please.

0:22:250:22:28

-Thank you.

-There you are.

0:22:280:22:30

-Erm, we're going to have to skip lunch.

-What've you got?

0:22:300:22:33

RTC, two casualties. You're welcome to watch the guys in action.

0:22:330:22:37

-Thank you.

-Looks like a meat and potatoes case.

0:22:370:22:40

That's the beauty of this place -

0:22:400:22:41

you never know what comes through the door.

0:22:410:22:43

The Forrest Gump school of thought.

0:22:430:22:45

OK, everybody ready? Three, two , one - there we go.

0:22:450:22:49

That's great. Thanks, guys.

0:22:490:22:51

TERRY GROANS

0:22:540:22:55

Oh, right. Tenderness in the chest wall.

0:22:550:22:58

Decreased sound on right side.

0:23:000:23:04

Dullness to percussion.

0:23:060:23:08

OK, he's tachypneic, resps at 30.

0:23:080:23:11

Right, let's get the chest X-ray in please,

0:23:110:23:13

I'd like an ECG, FBCs, Us and Es, and I may need a chest drain.

0:23:130:23:17

Can we call the lab? I'd like four units of cross-matched,

0:23:170:23:20

as soon as possible, please.

0:23:200:23:22

OK, this is Charlotte Chandler, 18, passenger in the RTC.

0:23:220:23:25

GCS has been 15 throughout, pulse 80, BP 130 over 85,

0:23:250:23:31

sats 98, she's lost approximately 250ml of blood at the scene.

0:23:310:23:34

-CHAZ:

-I want to talk to the police!

-Any analgesia?

0:23:340:23:37

No, I tried but it was refused.

0:23:370:23:39

On my count - on three, two, one.

0:23:390:23:43

-OK.

-Thank you.

-Hi, Charlotte, I'm Dr Hanna.

0:23:440:23:48

Let's get some routine bloods and fluids please,

0:23:480:23:51

I want Us and Es, LFTs, FBCs, group and save, glucose and a beta hCG.

0:23:510:23:56

-Where are the police?

-Try and keep still for me, yeah?

0:23:560:23:58

Nice deep breath?

0:23:580:24:00

OK, let's look in those eyes.

0:24:010:24:03

Pupils equal and reactive. Right...

0:24:080:24:12

-What's she still hanging around for?

-Mrs Beauchamp's friend?

0:24:120:24:15

Oh, of course she is.

0:24:150:24:16

All right, we have a pleural effusion on the right side,

0:24:160:24:20

a small pneumothorax, cannonball metastases

0:24:200:24:24

and two fractured ribs. Could be a malignant effusion,

0:24:240:24:27

could be a haemothorax from the chest trauma.

0:24:270:24:29

Definitely needs draining. Can we have the chest drain set in, please?

0:24:290:24:32

Lungs are seriously compromised.

0:24:320:24:34

Can we see if we can find some old notes as well?

0:24:340:24:36

The skeletal survey shows what's called a bucket handle fracture.

0:24:380:24:41

Which is a very worrying injury in young children.

0:24:430:24:47

-Can you explain that, Rachel?

-No.

0:24:470:24:49

This isn't right. This isn't what's supposed to happen.

0:24:490:24:52

-Sorry, how do you mean?

-Things are supposed to get better.

0:24:520:24:56

My life starts now.

0:24:560:24:58

You mean, since your all clear?

0:24:580:25:00

I've got everything I want. I'm well.

0:25:000:25:03

Well enough to care for someone else.

0:25:030:25:05

And has Eve been given the kind of care she needs?

0:25:050:25:09

I panicked when she got ill.

0:25:090:25:11

I.. I was scared it was something bad.

0:25:110:25:13

I didn't know what to do.

0:25:130:25:15

Maybe that's why the cancer stopped me having a baby of my own.

0:25:150:25:19

These results suggest that Eve is at significant risk

0:25:190:25:22

of harm in your care.

0:25:220:25:23

You don't want me to have her.

0:25:250:25:27

We'll have to update social services and let Mrs Beauchamp know.

0:25:270:25:31

Ah! How are we doing?

0:25:360:25:37

Can I finish making my statement now or what?

0:25:370:25:39

-She's been charm personified.

-Shut it, gimp!

0:25:390:25:42

-Thanks.

-Is that her or the head injury talking?

0:25:420:25:44

-Well, CT was clear, so...

-It's a fair assessment then.

-Funny.

0:25:440:25:47

Yeah, careful, you don't want his new girlfriend to hear you say that.

0:25:470:25:50

-New girlfriend?

-Lofty thinks she works here,

0:25:500:25:52

explains why he's signing up for extra shifts.

0:25:520:25:55

-Wow. Desperate.

-Again, thanks.

0:25:550:25:57

Extra shifts, eh? Well, you'll have to keep me posted.

0:25:570:26:01

Robyn is on the case.

0:26:010:26:02

Ah, right, now, do you want me to give you a hand with this?

0:26:020:26:05

-No, got it.

-Oh, very keen, aren't you?

0:26:050:26:07

-Just doing my job.

-Senior staff nurse Freeman

0:26:070:26:09

does have a nice ring to it.

0:26:090:26:10

Yes, unfortunately colon cancer has a nasty habit

0:26:130:26:16

of metastasizing to the lung.

0:26:160:26:19

Erm...I see you've been referred to Mrs Williams.

0:26:190:26:23

Have you scheduled an appointment?

0:26:230:26:24

I'm sorry, I can't seem to find anything in here.

0:26:240:26:27

I decided against it.

0:26:270:26:28

-You went with a different oncologist?

-No.

0:26:290:26:33

Right, well, I know your GP

0:26:330:26:34

will have talked you through your options.

0:26:340:26:36

And although there is no cure at this stage,

0:26:360:26:39

chemo and radiotherapy can control growth, and relieve the symptoms.

0:26:390:26:43

I've got other priorities right now.

0:26:430:26:44

Sorry, er... Mr French's wife is at Reception.

0:26:440:26:47

OK, Lofty, would you bring her up to speed?

0:26:470:26:49

I'm sure your wife will want to be part of this conversation.

0:26:490:26:52

Excuse me? No, I'd rather my wife

0:26:520:26:54

wasn't informed of my condition, thank you.

0:26:540:26:56

Sorry, are you saying she doesn't know about your diagnosis?

0:26:570:27:01

No. And I'd like to keep it that way, thank you.

0:27:010:27:03

-You want me to lie?

-Lofty, thank you.

0:27:030:27:05

Mr French, I would strongly advise against...

0:27:050:27:07

-It's his decision.

-Andrea, please.

0:27:070:27:10

Not all your patients need spoon-feeding, Connie.

0:27:100:27:12

Mr French, are you in any pain?

0:27:160:27:18

Do you have any symptoms my team need to know about?

0:27:180:27:21

I feel OK. Perfectly fine. Thank you.

0:27:210:27:24

Right, take the ibuprofen every four hours,

0:27:260:27:28

it'll help lower your temperature and reduce inflammation.

0:27:280:27:31

Sorry, Lily, have you seen Mrs Beauchamp?

0:27:310:27:33

In Resus with some hotshot heart surgeon...and your brother.

0:27:330:27:37

-Right.

-Any breaches?

0:27:370:27:39

-Maybe.

-Come on, Ethan.

0:27:390:27:41

Mrs Beauchamp promised rewards if we hit our targets.

0:27:410:27:44

Yeah, well, whatever happened to slow and steady

0:27:440:27:46

-winning the race, eh?

-That's a fairy tale.

0:27:460:27:48

Thanks, but no, thanks.

0:27:500:27:52

Actually, I've got to run something

0:27:520:27:53

-by Mrs Beauchamp.

-Oh, OK, yeah, she'll love that(!)

0:27:530:27:55

Why don't you get her to tie your shoelaces while you're at it?

0:27:550:27:58

I wish you'd be a little more tactful in front of my team.

0:27:580:28:00

Oh, please, tact is for people who lack wit.

0:28:000:28:03

-Should we go straight to lunch?

-Excuse me. Sorry.

0:28:030:28:06

Ethan. Meet Andrea Somerton.

0:28:060:28:08

-Ravenous cardiothoracic surgeon.

-What can I do for you?

0:28:080:28:10

-I have a child protection issue.

-Ah, cherry on the cake.

0:28:100:28:13

Sorry, I'm going to have to take this.

0:28:130:28:15

-I know, duty calls.

-Erm, Cal?

0:28:150:28:18

Yeah, I've got this.

0:28:180:28:20

So...when will I stage my intervention now?

0:28:200:28:23

-Oh. It'll have to be dinner.

-Somewhere expensive?

0:28:230:28:25

-Oh, exorbitant.

-ANDREA CHUCKLES

0:28:250:28:27

Right, Dr Hardy.

0:28:270:28:28

Yeah, I have a nine-month-old possible NAI with broken ribs

0:28:280:28:32

and a bucket handle fracture of the femur.

0:28:320:28:35

She's been with the same foster mother for the past four months.

0:28:350:28:38

And did she offer any plausible explanation?

0:28:380:28:40

No, not yet, but...

0:28:400:28:42

No buts, Dr Hardy. We can't ignore three broken ribs

0:28:420:28:44

and a fractured femur in a nine-month-old.

0:28:440:28:47

I take it you've spoken to the child protection registrar?

0:28:470:28:50

Ah, yes, yes, I have, he's on his way.

0:28:510:28:53

Sorry, did you say three broken ribs?

0:28:530:28:56

Non displaced fracture of the second, third and eighth rib.

0:28:560:28:59

Right... This is a chest X-ray that I took earlier today

0:28:590:29:01

when I was screening for sepsis, with the eighth rib still intact.

0:29:010:29:06

-You're sure this is hers?

-Absolutely positive.

0:29:060:29:08

Excuse me.

0:29:080:29:09

Well, if both sets were taken today,

0:29:110:29:13

then the third fracture happened while she was here.

0:29:130:29:15

Did you press on her chest?

0:29:150:29:16

Yes, we had to hold her while we were performing a lumbar puncture.

0:29:160:29:19

OK, we could be looking at osteo imperfecta.

0:29:190:29:21

But there were no clinical signs, no features to indicate...

0:29:210:29:24

They'll confirm the diagnosis when she gets upstairs, just hold off on any further action, OK?

0:29:240:29:28

I'm OK, love, honestly.

0:29:310:29:33

Did you want some privacy so you two can talk?

0:29:330:29:34

It's not him that wants talking to.

0:29:340:29:37

-Where is she?

-Oh, Kayleigh, please...

0:29:370:29:39

You get too involved, with her especially.

0:29:390:29:43

She doesn't have anybody else, love.

0:29:430:29:45

And what about your daughters?

0:29:450:29:47

Do you ever stop and think about them?

0:29:470:29:49

Charlotte Chandler, I want to see her.

0:29:490:29:51

-I don't think that's...

-Your husband needs you here.

0:29:510:29:54

He needs his head read. That girl is nothing but trouble.

0:29:540:29:57

We could grab you a chair... nice cup of tea?

0:29:570:30:00

Oh, forget it! I'll find her myself.

0:30:000:30:03

-Robyn, could you stop her, please?

-Mrs French! Mrs French!

0:30:030:30:05

The police should be dealing with this, all right?

0:30:050:30:08

Nice try, mate, but it's really none of your business.

0:30:080:30:11

-Ow!

-OK. It's OK.

0:30:110:30:13

You think you've got me all figured out, don't you?

0:30:180:30:21

Not at all.

0:30:210:30:22

For your information, I've got a job, a flat, a car.

0:30:240:30:28

I'm not who you think I am.

0:30:280:30:29

-Why do you care what I think?

-Nice one.

0:30:290:30:32

-Fancy yourself as a therapist?

-No, I'm just trying to understand.

0:30:320:30:36

A family history of addiction, abuse, neglect,

0:30:360:30:39

-other traumatic experiences in childhood.

-OK.

0:30:390:30:43

But I'm clean now.

0:30:430:30:45

-I'm getting "help."

-Good, I'm glad to hear it.

0:30:450:30:47

Mrs French, please, leave this to the police!

0:30:470:30:49

You! Stay away from my husband!

0:30:490:30:52

-And this is...?

-My key worker's wife.

0:30:520:30:54

And I'm not leaving until she admits it was all her fault.

0:30:540:30:58

I will! I've been trying to!

0:30:580:30:59

I was in trouble. I needed his help.

0:31:020:31:05

Oh, for a change(!)

0:31:050:31:07

He didn't want anything to do with it.

0:31:070:31:09

-And you'll say all this to the police?

-As soon as I can.

0:31:090:31:12

OK, I just need another ten minutes here.

0:31:120:31:14

-Robyn, could you give me a hand?

-Yeah. I'll be straight back.

0:31:140:31:17

Let's go get you a nice hot drink or something, OK?

0:31:170:31:19

Did you hear that? She'll never change, they never do.

0:31:200:31:24

He makes no money, works all hours. Why? For what?

0:31:240:31:27

Sorry for the delay. We had to run a few more tests.

0:31:290:31:32

Hasn't she been through enough?

0:31:320:31:34

We believe Eve has a condition called osteogenesis imperfecta,

0:31:340:31:38

-or brittle bone disease.

-What?

0:31:380:31:41

It's a genetic condition that causes the bones to be very weak

0:31:410:31:44

and thin, so they can fracture easily.

0:31:440:31:46

Will she be OK?

0:31:460:31:48

Well, it's a chronic condition, which means it can't be cured,

0:31:480:31:51

but it is treatable.

0:31:510:31:52

-It also means...

-That you thought I'd done something wrong, but I haven't.

0:31:540:31:58

I am sorry.

0:31:590:32:01

-OK, guys, I need to have a word with Mr French.

-Sure.

0:32:010:32:03

Let's hope she can talk some sense into him.

0:32:060:32:08

Ah, it's got to be his decision.

0:32:080:32:10

Whatever happened to in sickness and in health?

0:32:100:32:12

It got complicated.

0:32:120:32:13

How are you feeling?

0:32:130:32:15

Yeah, I've been better.

0:32:160:32:18

OK, I'm going to be brutally honest with you, Mr French,

0:32:180:32:20

because I've seen the way this could go.

0:32:200:32:22

You could experience confusion, fatigue, extreme pain...

0:32:220:32:28

The contents of the bowel could spill into your abdomen

0:32:290:32:32

and cause mass infection.

0:32:320:32:33

-Your lung capacity reduced to the point of suffocation...

-What?

0:32:330:32:37

If you refuse medical advice and medical intervention,

0:32:380:32:42

you need to do so in the full knowledge

0:32:420:32:44

-of what's likely to happen.

-What kind of doctor are you?

0:32:440:32:47

The kind that wants the best for her patients.

0:32:470:32:49

Are you religious or something?

0:32:490:32:51

As I said, Mr French, palliative care can give you

0:32:510:32:53

a better quality of life and ease the pain.

0:32:530:32:55

If you have no care for yourself, think about your wife

0:32:560:32:59

and what you are about to put her through.

0:32:590:33:01

Eve will need to be admitted, so she'll stay overnight at least.

0:33:060:33:09

If she is diagnosed with OI she'll then

0:33:090:33:12

be referred to orthopaedics as well as

0:33:120:33:14

metabolic and genetic specialists.

0:33:140:33:17

Rachel, does...?

0:33:170:33:19

Are you all right?

0:33:190:33:21

Rachel?

0:33:220:33:24

-You spoke to her?

-I hope they lock her up and throw away the key.

0:33:250:33:28

What, what...? What did she say?

0:33:290:33:32

-Easy, easy.

-She's making a statement.

0:33:320:33:35

She's telling them it was all her idea.

0:33:350:33:37

No, no, wait, you've got to stop her, please.

0:33:370:33:39

-Please...

-HE WHEEZES

0:33:390:33:41

Why? Why would I...? What is it about her, Terry?

0:33:410:33:45

Who is she to you?

0:33:450:33:47

-Sats only 90%.

-Right, let's repeat the blood gases.

0:33:470:33:49

Can I get another CT and an echo please?

0:33:490:33:52

Sorry. Does he have a history of heart problems?

0:33:530:33:56

No, nothing like that. I thought it was his lungs?

0:33:560:34:00

So what kind of trouble are you in?

0:34:000:34:02

Must be pretty bad to pull a stunt like that in broad daylight

0:34:020:34:04

with your drugs counsellor.

0:34:040:34:06

It was a choice car, good spec, no witnesses.

0:34:060:34:09

And it was all your idea?

0:34:090:34:11

-Like I said.

-So why weren't you driving?

0:34:120:34:14

Must have been hard to get Terry behind the wheel.

0:34:140:34:17

Whatever. Yeah, it was.

0:34:170:34:19

And you think the police will buy your story?

0:34:190:34:22

-Don't see why not.

-You must owe him a lot.

0:34:220:34:24

Yeah, sure, I was blind and now I can see.

0:34:240:34:27

-Oh, come on - the job, the car...

-I'm a valuable member of society!

0:34:270:34:31

It's hard isn't it? Moving forwards, forgiving yourself?

0:34:310:34:36

-Like you know.

-She knows. She started from scratch

0:34:360:34:38

when her husband died. She's brave and amazing.

0:34:380:34:41

What? So you think I can transform - sprout wings and fly?

0:34:410:34:46

I think you should talk to Terry, before you talk to the police.

0:34:460:34:49

-Why? You think he'll change my mind?

-Maybe.

0:34:490:34:53

But the two of you definitely need to work on your story.

0:34:530:34:56

OK, what've we got?

0:35:020:35:03

The CT shows that there are small tumour deposits in myocardium

0:35:030:35:07

and what looks like a pericardial effusion.

0:35:070:35:10

And this could be either malignant or traumatic.

0:35:100:35:12

Tumour? What tumour?

0:35:120:35:15

The echo confirms a large area of fluid around the heart

0:35:150:35:19

and echo dense material within it.

0:35:190:35:21

-This is compromising his heart function.

-Cardio shock?

-Mmm.

0:35:210:35:25

His BP's falling and his pulse is becoming rapid and weak.

0:35:250:35:27

We'll need to drain the effusion.

0:35:270:35:29

A percutaneous drain will probably block.

0:35:290:35:31

So he will need a pleuropericardial window to stop it re-accumulating.

0:35:310:35:36

In the meantime, we'll need to support his circulation.

0:35:360:35:39

How do you suppose we do that?

0:35:390:35:41

It's unconventional, but an IABP would

0:35:410:35:44

certainly stabilise him so we can get him to theatre.

0:35:440:35:46

-What? Here in the ED?

-Mmm. I've done it dozens of times.

0:35:460:35:49

-OK. You're the boss.

-Watch and learn, Cal, this is what

0:35:510:35:53

-my experience brings to the table.

-Mrs Beauchamp, please...

0:35:530:35:56

I'm going to insert an intra-aortic balloon pump to increase

0:35:560:35:59

the oxygen supply to your husband's heart.

0:35:590:36:02

And that will make him better?

0:36:020:36:03

It will certainly buy us some time. All right, Lofty?

0:36:030:36:06

Would you take Mrs French to the relatives' room, please?

0:36:060:36:09

Tess. Sorry to interrupt. I, erm...

0:36:110:36:15

I wanted to apologise for this morning...and for this afternoon.

0:36:150:36:19

And I'm just wondering if...

0:36:190:36:21

-Does this involve the Hope and Anchor?

-Yeah.

0:36:210:36:24

I'd like to buy you a drink.

0:36:240:36:25

Not part of my game plan, I'm afraid.

0:36:250:36:27

Right. Is this part of the whole being professional thing?

0:36:270:36:31

Yeah, part of the whole being professional thing, exactly.

0:36:310:36:33

You're not going to want to miss this. Mrs Beauchamp's doing an IABP.

0:36:340:36:38

-What, in Resus?

-Yeah. Where else?

0:36:380:36:40

Ridiculous.

0:36:420:36:44

Are you opposed to the clinical lead showcasing her skills?

0:36:440:36:47

No, she's just showboating to her cardiologist friend in there.

0:36:470:36:50

I'm sorry. I don't know...

0:36:540:36:56

I can't explain it.

0:36:570:36:59

But you're feeling a bit better?

0:36:590:37:00

Maybe I just needed some fresh air.

0:37:000:37:02

Do you mind, you mentioned that you had trouble sleeping?

0:37:030:37:06

-That's nothing new.

-When did that start?

0:37:060:37:08

A few years ago. With the chemo.

0:37:100:37:13

And it hasn't improved at all?

0:37:130:37:15

I know, it sounds stupid.

0:37:150:37:17

Now that there's nothing to worry about, I shouldn't be...

0:37:170:37:21

Are you having any bad dreams?

0:37:210:37:22

About anything in particular?

0:37:240:37:26

It sounds silly.

0:37:260:37:27

About the chemo, the radiation...

0:37:290:37:31

about going through it over again.

0:37:310:37:33

Sometimes it's all I can think about.

0:37:330:37:36

How does it make you feel?

0:37:360:37:37

Helpless. I get this tightness in my chest.

0:37:370:37:40

I know it doesn't make any sense.

0:37:410:37:43

Actually, it does.

0:37:450:37:47

Cancer sufferers are at risk from post-traumatic stress disorder.

0:37:470:37:50

Isn't that what soldiers get?

0:37:510:37:53

The shock of having a life-threatening disease

0:37:530:37:55

can leave the same kind of scar.

0:37:550:37:56

This may also explain what's happened with Eve.

0:37:570:38:00

I doubt that.

0:38:000:38:02

One of the symptoms of PTSD is the avoidance of people, events,

0:38:020:38:07

places that are connected with the trauma.

0:38:070:38:10

Which is why perhaps you put off seeking medical treatment

0:38:100:38:13

and why you were reluctant for Eve to have any tests.

0:38:130:38:16

-You see, the detachment...

-I'm so sorry.

0:38:170:38:19

No, If I'm right about this, the very fact that you came here today

0:38:200:38:24

proves how much you care about Eve.

0:38:240:38:26

Scalpel please. First...

0:38:310:38:34

..we puncture the femoral artery.

0:38:350:38:37

Sorry, Terry, you may feel a little bit of pressure here.

0:38:370:38:41

And then we feed the guide wire up to the ascending aorta.

0:38:410:38:45

Screen on, please. Make sure it goes over the aortic arch.

0:38:450:38:50

Screen off, please.

0:38:500:38:52

Remove the needle and then insert the introducer sheath over the wire.

0:38:520:38:56

Again, you may feel a little bit of pressure, Terry.

0:38:560:38:59

Lovely. Remove the dilator.

0:39:000:39:04

And finally we feed the balloon catheter over the wire

0:39:040:39:10

and up to the descending aorta. Screen on, please.

0:39:100:39:13

Screen off.

0:39:170:39:18

All right, balloon's in place, that's lovely.

0:39:180:39:20

OK, let's remove the guide wire.

0:39:200:39:22

Attach those to the pump, please.

0:39:240:39:26

Aspirate?

0:39:270:39:28

Screen on. Screen off. Perfect. All right.

0:39:330:39:38

The balloon catheter is programmed to inflate

0:39:380:39:40

and deflate in relation to the cardiac cycle.

0:39:400:39:42

-So it assists with every heartbeat.

-And he'll get a normal blood flow?

0:39:420:39:46

We have just reversed the pathophysiology of a failing heart.

0:39:460:39:50

So the results can be seen in a matter of beats, yes.

0:39:500:39:54

All right, Terry, well done.

0:39:540:39:55

The balloon is in place and I'm happy with that.

0:39:550:39:58

OK?

0:39:580:40:00

-Come on through.

-I'm not sure what to...

0:40:000:40:02

Look, she's delicate, but she's not made of glass, OK?

0:40:040:40:07

Hi, there.

0:40:120:40:13

I've missed you.

0:40:150:40:16

Eve's a very special baby.

0:40:170:40:19

Things will be different... now that I know something's wrong.

0:40:190:40:22

Rachel, it's not just about Eve.

0:40:220:40:25

I'll get help. I'll do whatever you want.

0:40:250:40:27

It's not like a broken bone, unfortunately.

0:40:290:40:31

We don't know how long you'll take to heal.

0:40:310:40:33

I just want what's best for her.

0:40:350:40:37

I started the celebrations too soon, didn't I?

0:40:410:40:44

No. Your remission is an amazing achievement.

0:40:440:40:47

But I can't take her back.

0:40:500:40:51

I'm not ready.

0:40:540:40:55

I'll let social services know.

0:40:580:40:59

EVE COOS

0:41:050:41:06

Thank you, Dr Hardy. For making it...

0:41:080:41:12

For making ME make sense.

0:41:150:41:18

You take your time, OK? It's important to say a proper goodbye.

0:41:200:41:23

No, Dave, we can't just reschedule. It's the one with the balconies.

0:41:320:41:38

Look, let's just forget it, then, yeah?

0:41:380:41:41

SHE SIGHS

0:41:410:41:42

Right, what do you think?

0:41:450:41:47

Ah, well, mate, you look like a young...

0:41:470:41:49

Steve McQueen...ish.

0:41:490:41:50

-What time does happy hour start?

-Ah, 15 minutes.

0:41:510:41:54

-Great. Should we get warmed up?

-Hey, hang on!

0:41:540:41:57

You're supposed to be going out with your fiance.

0:41:570:41:59

Yeah, I was, Jeff, but he's cancelled.

0:41:590:42:01

-Because he's busy at work, apparently.

-Whoa, it's happy hour.

0:42:010:42:03

You can't go to happy hour with a mush like that, can you?

0:42:030:42:06

-Watch me.

-No, you can't, I'll come with you.

0:42:060:42:08

Don't even think about it, Jeff.

0:42:080:42:09

You are going to go out with that Samantha

0:42:090:42:11

and just show her what a kind, caring, amazing guy you are.

0:42:110:42:16

-Yeah, but...

-No buts, Jeff.

0:42:170:42:21

Come on then, Mac. I'm buying.

0:42:230:42:25

Right, well, let the pina see the colada.

0:42:270:42:29

I wanted to check you were all right. They said it would be OK.

0:42:430:42:46

-I hope this is the last time.

-Don't worry, I'm long gone.

0:42:460:42:50

-I can't let you do this, Chaz.

-It's no biggie.

0:42:500:42:53

It was me.

0:42:550:42:56

-All of it.

-Right, so why's she confessed?

0:42:570:43:01

Because she's a recovering drug addict who doesn't know her worth.

0:43:010:43:05

I shouldn't have got you involved.

0:43:070:43:09

Um...we're on the clock here, so...

0:43:090:43:11

So, thanks for the offer, Chaz,

0:43:110:43:14

but I really do need to set the record straight.

0:43:140:43:17

-Can we have just a minute, please?

-Of course.

-Thank you.

0:43:180:43:21

What's going on, Terry?

0:43:240:43:26

I've got cancer.

0:43:280:43:29

Right, OK...

0:43:320:43:34

so you and your junkie friend stole a car because you've got cancer?

0:43:340:43:38

Do we need the doctor back in here?

0:43:380:43:39

-Kayleigh, please...

-No, can't you see that doesn't make sense?

0:43:390:43:42

I've got six months.

0:43:420:43:44

I got two teenage girls and a house that isn't paid for.

0:43:440:43:48

-I was just trying to sort things out, love.

-Six months?

0:43:500:43:54

Yeah.

0:43:540:43:55

What about chemotherapy? Radiotherapy?

0:43:550:43:58

Ah, no, it's too late.

0:43:580:43:59

-Six months?

-I'm so sorry.

0:44:010:44:04

Why didn't you tell me?

0:44:040:44:06

Because that would have made it real.

0:44:070:44:09

What can I do?

0:44:110:44:14

-There's nothing anyone can do.

-There must be something.

0:44:140:44:17

You can hold my hand...

0:44:180:44:20

and you can tell me you love me...

0:44:200:44:22

SHE SOBS

0:44:220:44:23

Tamzin and Big Mac are in the pub already.

0:44:320:44:34

Oh, hurry up, Rita.

0:44:340:44:36

ALL: Hey!

0:44:360:44:38

-What's the matter, Max, you thirsty?

-If you're buying.

0:44:380:44:40

-Oh, I'm buying.

-Then I'm thirsty.

-I'll see you in five.

0:44:400:44:44

So, who won the chess game in the end?

0:44:440:44:46

It was put on hold because of Mrs Beauchamp's surgery.

0:44:460:44:49

Hang on, maybe we should invite her along?

0:44:490:44:51

-Have you lost your mind?

-Nah, I'll be back in a bit.

0:44:510:44:55

Right! Beer waits for no man. Come on, we're away!

0:44:550:44:58

Help me, please!

0:44:580:44:59

That's Mia. One of Cal's patients.

0:44:590:45:01

Help me, please! I need a doctor!

0:45:010:45:02

Hello. Mia, I'm Dr Hardy. What's happened?

0:45:020:45:05

Where's Dr Knight? I need to see Dr Knight.

0:45:050:45:07

Let's get you a chair first and see if we can slow that breathing down.

0:45:070:45:10

My bridesmaid's still in London. She quit...by text.

0:45:100:45:13

I want you to breathe slowly through your nose for five seconds.

0:45:130:45:16

-He said he'd make me beautiful.

-OK, in...

0:45:160:45:18

I'll put your pint on ice, mate.

0:45:180:45:21

Ethan, you all right here?

0:45:210:45:22

You must be sick of this place, all those extra shifts.

0:45:250:45:28

Yeah, listen, about that...

0:45:280:45:29

-TOGETHER: I needed the money.

-You needed the money.

0:45:290:45:33

No, tomorrow is not good enough. Well, then I want you to

0:45:360:45:40

send it to me as soon as you get it. Thank you. All yours.

0:45:400:45:44

Are you sure? Your puppy dog's waiting for you out there.

0:45:440:45:47

I hear you fitted an IABP in Resus today.

0:45:480:45:51

-Yes, I did.

-Was that for my benefit?

0:45:510:45:52

Hardly. Andrea, this is the front line. My expertise saves lives.

0:45:520:45:57

Oh, spare me. Neither of us became doctors to save lives.

0:45:570:46:01

It was about power, ambition, making the right connections.

0:46:010:46:04

And my being here makes an enormous difference to this department.

0:46:040:46:08

-So would a new coffee machine.

-True, yes.

0:46:080:46:11

This isn't the right place for you, Connie.

0:46:110:46:13

You're losing your edge, going soft.

0:46:130:46:15

You may prefer your patients anaesthetized...

0:46:150:46:17

My point exactly! You never used to concern yourself

0:46:170:46:19

with your patients or your precious team.

0:46:190:46:21

Speaking of which, you'd better throw the schnauzer a bone.

0:46:220:46:25

-Miss Somerton.

-She's all yours, Fido.

0:46:270:46:29

This had better be good, Dr Knight.

0:46:290:46:31

I just thought you and Andrea would like to join us over the road.

0:46:310:46:35

Celebrate another first for the ED since you stepped up?

0:46:350:46:38

It's been a real inspiration working under you today and I just...

0:46:390:46:43

Dr Knight, what happened? You said you'd come back and see me.

0:46:430:46:46

-This your patient?

-I'm getting married in two weeks.

0:46:460:46:50

Dr Hardy, what do you see?

0:46:500:46:52

Don't be shy.

0:46:540:46:55

-Periorbital haematoma and oedema.

-Causes?

0:46:560:46:59

-Base of skull and orbital floor fractures.

-Cubicles, please.

0:46:590:47:02

Dr Knight, in your haste to move on to the next patient, did you

0:47:040:47:08

run a CT or any facial views to rule out the possibility of a fracture?

0:47:080:47:12

-Dr Knight?

-No.

-No.

0:47:120:47:14

You're a malpractice suit waiting to happen.

0:47:160:47:18

Dr Hardy, would you mind staying behind

0:47:180:47:19

-and helping your brother out with this mess?

-Yes, of course.

0:47:190:47:22

Right, I will see you in my office

0:47:220:47:24

first thing in the morning, and don't be late.

0:47:240:47:26

-You shouldn't have done that, mate.

-Done what?

0:47:290:47:31

Sacrificed your queen.

0:47:320:47:34

Hello? Sorry about that, it's packed in there,

0:47:400:47:42

just having a quick drink to celebrate.

0:47:420:47:44

What do you mean, he's not signed the papers?

0:47:470:47:48

He can't defend it, there is no defence, he knows that.

0:47:480:47:52

-Rita? Is everything OK?

-Yeah, it's fine.

0:47:540:47:56

Only we're finally getting served and you said...

0:47:560:47:58

Two minutes, just give me two minutes.

0:47:580:48:01

No. No, no, no, no, no. No. No. You tell him no, OK?

0:48:020:48:05

I refuse to be dragged back through the courts.

0:48:050:48:07

I want this over. I want my life back.

0:48:070:48:09

I want a divorce!

0:48:100:48:12

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