The Love You Take Casualty


The Love You Take

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Budgets are the new black, and we are very much in the red.

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How about a little challenge to help stem the flow?

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

-Hm.

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I was a football widow every Saturday for a very long time.

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Not for a while now, though.

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I don't see how a game of chess is going to help us with the budget.

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Yeah. Not how you play.

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How's Mark? Is he still dragging you down White Hart Lane

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every other weekend?

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He's dead.

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Mark's dead.

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What do you see as your biggest weakness?

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I'm a perfectionist.

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I find it hard to switch off.

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Ha. Everyone says that.

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It's true. Sadly.

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Tell me about the last time you were stressed at work,

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and how you dealt with it.

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Well, everybody who works in an ED gets stressed.

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Anyone who says otherwise is a liar,

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but if you're part of a good team, somehow, you cope.

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What attracted you to the nursing profession?

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The chance to do something bigger than me.

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More important than me.

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For what it's worth, I'd hire you.

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Yeah?

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Yeah.

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Well...

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Let's hope Tess feels the same.

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One visit. On compassionate grounds.

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That's all I'm asking for.

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They'd never allow it.

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-What, have you asked them?

-There's no point.

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Well, can't you just tell them

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that my mother is dying alone on a hospital ward.

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-It's not going to happen.

-Come on!

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Sorry, sorry. We're...we're fine.

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You could go yourself.

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You could take this. You could talk to her.

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Can't you ask a friend?

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I'm asking you.

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Please.

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I'm sorry.

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No.

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Try and relax. You're doing really well.

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We're going to help you breathe now.

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Can we have 20 of prednisolone

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and continue the back-to-back nebulisers, please.

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All right. Breathe through this mask.

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We may need PICU.

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Can we, erm, get the parents here, please?

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OK. What have we got?

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Severe asthma. History of atopy.

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They mowed the school playing fields and left the window open.

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Parents not with him?

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Erm...teacher brought him in.

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These veins are a nightmare.

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Can we have an I.O. gun on stand-by, please?

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Sats are still not picking up?

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Yes, he's not shifting any air.

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All right, if the nebuliser doesn't work, we may have to intubate.

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So, let's have the RSI drugs on stand-by, too, please.

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-Connie, can I have a look?

-Mmm?

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Can I have a look?

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-Oh, yeah.

-Thank you.

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Will? I'm Rita.

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Do you like spaghetti Bolognese?

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Good. So do I.

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I want you to imagine you're a string of spaghetti

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all floppy and wet because you've been cooked far too long.

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So, just let your arms go limp and your legs go limp and relax.

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Just allow the magic gas to move inside you.

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-Sats are picking up.

-Good boy.

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-94...

-Huh.

-95...

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Oi! Hey!

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Ah. Someone is full of the joys of spring this morning.

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No, I'm just pleased the delivery is here, that is all.

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Ha, ha, of course, you are, Jeffrey!

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The date went well then?

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Yeah.

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Did she take you anywhere nice?

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Ah... I'm trying to get this done.

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Well, no. Just cos... Judging from the bags under your eyes,

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you didn't get much sleep last night.

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-Well... you could say that.

-Ooh, you devil!

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You seeing her again?

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Yeah. Tonight, as it goes.

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She's a game girl, I'll give her that.

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Oh, well in that case, maybe you should take her out on a shout.

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You know? Show her where the action is.

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If the ambo's rocking, don't come knocking, right?

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-What's this?

-Oh, nothing...

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Just asking Romeo here about his big date with Samantha.

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Oh, yeah, of course! So, it was good then?

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Yeah. Good. Yeah.

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Great.

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RADIO: 'Holby Control to 3006, emergency call to HMP Belleville,

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'35-year-old male suffered a serious assault.

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'Injuries unknown at this stage, early update appreciated.'

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3006 to control, received. We're on our way.

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Quick as we can.

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Come here, Mac.

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They, erm, they can be tricky little blighters, those.

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Yeah.

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I'll go up with him.

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-Good.

-You feeling better now?

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Wet spaghetti?

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Oh. It's an old trick.

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She up for the senior staff nurse post today?

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Yes. Why?

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It's not often people surprise me.

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Morning, Mrs Beauchamp!

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Dr Knight. How's your little contest?

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-It's as good as won.

-Good.

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I swear those heels get higher every day.

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Board meeting. Can you come with me to cubicles, please?

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Yes. I can.

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So, she's had a bit of a bump and persistent epistaxis,

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as well as lacerations to her eye and her cheek.

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She's just here. This is Kate.

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This is Dr Knight.

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Hello, Kate. You can call me Cal.

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Right. Let's have a look at these injuries.

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Can you, erm, tell me how these happened?

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I hit myself with the cupboard door.

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I'm just going to spray this into your nose

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to try and stop the bleeding.

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Hold that side of your nose.

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Now, you might have a bitter taste in the back of your throat.

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All right and could you pinch your nose for me? Great.

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All right, we need to request a facial x-ray

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once the bleeding's stopped.

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How long's this going to take?

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It shouldn't take too long.

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I need to get going as soon as I can.

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Look, I know you must think I'm some battered wife,

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but I'm fine.

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And erm...did the cupboard door do this to you, too?

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Let's get that bleeding stopped.

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He's taken a bad beating.

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-All right, that's nice. What's his name?

-Mark.

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Is he conscious?

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Just about. He's in a bad way.

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OK, what's he done? Did he grass somebody up or something?

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Not exactly.

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-I hate these places.

-You and me both.

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Stay close to me, will ya?

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-I intend to.

-INMATES CATCALL

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Oh, here we go. More fun and games!

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All right, boys. MORE CATCALLING

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Let's have look. Watch yourself, mate, please.

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All right, fella? I'm Jeff, I'm a paramedic. Can you hear me?

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I'm just going to have a feel, all right?

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HE GROANS IN PAINS

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All right, you've got some tenderness there, yeah?

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OK, we need a pelvic sling, some O2, a collar and board

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and we need to get a line-in, OK?

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And when you go outside, just keep them peeled, OK?

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-Yes.

-I'll keep the chain long.

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Chain? This guy supposed to be dangerous?

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Not to us.

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Well, OK. Sorry, is there someone that can go with her, please?

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I'm sorry.

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-I'm sorry.

-This is the second time this week!

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I had to stop and help someone that was lost.

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-And that took you ten minutes?

-I had to go with him.

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He...he wouldn't have found it on his own otherwise.

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It's not good enough, Lofty.

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You have to start behaving like a professional.

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-I'll make it up to you, I swear.

-Yeah, you will.

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And you can start by sorting out the delivery in the staff room,

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cos as usual the place is a pigsty.

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Ah, it's all in here. Pattern of injuries have been increasing

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over the last two years.

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Bruising, black eyes, dislocated shoulder...

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Let's have a look.

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-Get your own patient.

-Charming.

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Has she been referred before?

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-Domestic violence, charity, police?

-Nah, doesn't look like it.

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I'll speak to her. See if I can find a chink in the armour.

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-Yeah. Good luck.

-Anything I can help with?

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Why are you still here?

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-Here. Look at this.

-A body?

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What? No.

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Thought I'd do a bit of busking later.

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In the hospital?

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Yeah, there's a small chance I might have spent my rent money.

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-Here? Really?

-It's for charity.

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Have you spent your rent money again!?

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I'm raising money for charity.

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Robyn, is Resus clear?

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Ahh... Mrs Langton is still in there.

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Right. Well, can we move her? We've got a Level One trauma coming in.

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It's a CAT C prisoner.

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This is Mark Richie, 35 years old. He was attacked.

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Got lacerations to his face, fractured jaw,

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fractured pelvis and bruising to his chest.

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Was KO'd, GCS was 12, is now 13, BP is 90 over 60,

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pulse 100 and sats are 93%.

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Ten of morphine and 750 of saline.

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And his BP has stabilised now.

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And this gentleman is Derek.

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Ash, just to let you know. Sex offences against a child.

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-Right.

-Am I in the way?

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Good work. We'll work around you.

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-Erm, middle bed, thanks, Tamzin.

-Right, nearly there, Mark.

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I'll take primary survey, yeah?

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Let's get him over when we're ready then, please.

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-His name is Mark?

-Yeah.

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-Go on three. One, two, three.

-Hello, Mark. I'm Zoe.

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Let's get another line-in, please.

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I need a VBG, erm, routine bloods

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and cross matching for six units, please.

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OK, let's have a listen to this chest.

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All right, we need a bowl and suction over here, please.

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All right, Mark, take it easy.

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Yeah, it definitely feels like he's fractured his jaw...

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Yeah, and a couple of teeth missing.

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All right. OK. Can you look straight ahead for me, please?

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Tenderness to the right side of his chest.

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Equal air entry bilaterally.

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Can we get a FAST scan over here, please?

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Hey, are you a nurse?

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Any blondes work here?

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What?

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Any blonde nurses? Pretty ones?

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No blondes. You'll have to make do with me, I am afraid.

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You did well in there. They're not easy, those shouts.

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Mmm, thanks, Jeff. I'm just glad that you were with me.

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All right, tiger? I hear you're back in the dating jungle.

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Yeah, something like that.

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-What's she like? You met her yet?

-Nah, not yet.

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Right, let's get a wiggle on, shall we?

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See you later! OK.

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Back down on my count, one, two, three.

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OK.

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OK, what've we got?

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Uh... What haven't we got?

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Scan have got somebody on the table, but they can take him in 15 minutes.

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OK, can we get a plain film of his pelvis in the meantime, please?

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Can you give me a moment, please?

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'A Study of Production and Development in Health care Costs'.

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Yeah. That's a little bit tragic.

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Shouldn't you be with your patient?

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Well, I am just taking a couple of minutes to strategise.

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There.

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Actually, that's quite good by your mediocre standards.

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Yes, it is...

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-Lofty. Have you seen anyone else by this board?

-Nope.

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That's weird.

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Oh, the, erm...dishwasher's broken by the way.

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You OK?

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Yeah, I'm just thirsty, that's all.

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You got your job interview? Not nervous, are you?

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You got me, Lofty. I'm a bag of nerves.

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You'll storm it. They'd be mad not to hire you.

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There you go. You only needed paper stitches.

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There's no damage to your facial bones.

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Next time, you might not be so lucky.

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I'll try and look where I'm going next time.

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Did someone do this to you, Kate?

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I'm fine. I need to go now.

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No. No! Listen! Wait.

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I've seen a lot of women come in here, telling me they're fine.

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That they can handle it.

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It's part of our nature to think that we can fix things.

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That we can improve any situation.

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That only we understand him.

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But those same women are brought back in here, broken.

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Mentally, and physically.

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Don't let yourself get to that stage.

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-Accept help when it's offered.

-I can't.

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-Yes, you can.

-You don't understand.

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-Then help me understand.

-I'm sorry, I've got to get going.

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-No, don't, don't go.

-I've been here too long already.

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If you let us know, we can help you.

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I wish it were that simple.

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Hey, hey, hey, hey! It's all right! It's all right!

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Can I have some help here, please!

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-Who's this?

-He was in a locked car outside.

-Alone?

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He'd smashed the window. So... Hey! We're just going to sit you down.

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-Sit down.

-OK? Hey!

-OK.

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-It's all right. It's OK.

-Calm down.

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Louise, have the notes from the prison come through yet?

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Ah, yeah, I was just about to bring them through.

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-I'll take them.

-Hey, you know he's a kiddy fiddler?

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-Really?

-Yeah, it's horrible. I hope they throw away the key.

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Thank you.

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-Lily? Did you move my chess piece?

-What?

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Well, someone took my turn.

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Someone who apparently is a chess genius.

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-You're very sweet but why would I do that?

-I don't know.

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Your chess skills are pitiable,

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but I have better things to do than to help you cheat.

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It's a great move. His queen is completely trapped.

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Who else could have made it?

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Tess! My son!

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-Your son?

-He's gone.

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Where was he?

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-I left him in the car.

-Ah, right, come with me.

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BOY GRUNTS

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Calm down. It's OK.

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Oh, my God, look at his hands!

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He broke the window with a torch. Cut his hands on the glass.

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-Is he autistic? Can he speak?

-No.

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Hey, Jack, we're going to have to have a look at those hands, mate.

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-Thank you, we can take it from here.

-But...

-Go!

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Let them see your hands, you're bleeding.

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See, that thing he does with his arms? I don't know why he does it.

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-Jack, please, let the doctor see your hands.

-OK.

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Why don't we leave him with Dr Knight for a little while.

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Let him calm down? And let's find you a cup of tea.

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I sh...should call my husband.

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OK, Jack.

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Ow. Ow.

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Oh, for f...

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Fine! We'll just have to use disposable cups from now on.

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Did Tess ask you to do that?

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Nah, I just did it for a laugh.

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Of course she did.

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I'm pretty handy with a screwdriver, if I don't say so myself.

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Yeah?

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Go on, then.

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Mmm, that's a nasty pelvic fracture. It's likely to be unstable.

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BP still 90 over 60.

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He's hypovolaemic.

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Mark, on a scale from one to ten, how bad is the pain?

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Let's give him five more of morphine, please.

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And can we get the orthopods to review him

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as soon as possible, please?

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CT's ready for him.

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OK. Let's go.

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I'll take him.

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All right, that's another five of morphine going through.

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Ready.

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Jack, I need to look at these cuts on...

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I want to check these cuts on your hands.

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All right, would you, erm...would you like a sweet?

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-No?

-Cal, can I help at all?

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No, Ethan, thank you, I'm fine.

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PHONE RINGS

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I'm so sorry.

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No, no. Could you just keep it on, just for a minute?

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PHONE CONTINUES TO RING

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Do you like music, Jack?

0:17:080:17:11

Thank you. You can wait outside.

0:17:110:17:14

I've got to stay with him at all times.

0:17:140:17:16

Well, he's not going to get up and run away, is he?

0:17:160:17:18

-You going to be OK?

-Thanks, Max.

0:17:200:17:22

-Did you read my letters?

-No.

0:17:250:17:27

-None of them?

-Didn't even open them.

0:17:270:17:30

I'm guessing you haven't told them here?

0:17:300:17:34

What...what do they think?

0:17:340:17:36

You're divorced?

0:17:360:17:38

Or just not met the right bloke?

0:17:380:17:41

I told them you were dead.

0:17:410:17:43

It's true...to me.

0:17:430:17:45

I can't give you a divorce, Rita.

0:17:460:17:49

Can't or won't?

0:17:490:17:50

OK, fine. My solicitor will be in touch with yours. OK?

0:17:530:17:56

We'll get you treated and you can be on your way.

0:17:560:17:59

No. You are going to hear me out.

0:17:590:18:02

You left me in there to rot.

0:18:020:18:05

Nothing for three years.

0:18:050:18:07

Not one letter, not one visit,

0:18:070:18:10

then divorce papers out of the blue.

0:18:100:18:12

I know how much I hurt you.

0:18:140:18:17

But you can't just cut me off.

0:18:170:18:20

Ten minutes.

0:18:200:18:23

That's all I'm asking for.

0:18:230:18:25

No.

0:18:250:18:26

Ten minutes.

0:18:260:18:28

Fine. Then I'll tell all of them here.

0:18:280:18:31

All of it.

0:18:310:18:32

I will not let that happen.

0:18:320:18:34

Aha!

0:18:350:18:37

Fixed it. Blocked filter!

0:18:390:18:43

Well done. Have you got that MP3 player?

0:18:430:18:46

You must have stuff you need to be getting on with.

0:18:470:18:49

Yes. Speaking to you.

0:18:490:18:52

Do you have any help?

0:18:520:18:54

Not really.

0:18:540:18:55

No specialist support? Respite care?

0:18:550:18:59

He did go somewhere for a day a week, but they stopped the funding.

0:19:000:19:03

And school?

0:19:040:19:06

When I can persuade him, he doesn't like it.

0:19:060:19:09

I can't imagine how hard it must be on your own.

0:19:090:19:12

Must put your relationship under a lot of strain.

0:19:120:19:15

If there's anything you want to speak to me about,

0:19:160:19:19

in confidence, you can.

0:19:190:19:21

It's my husband.

0:19:230:19:25

Are you OK?

0:19:250:19:26

I am so sorry.

0:19:290:19:30

Can you give us five minutes, please?

0:19:320:19:34

You think I did this to her?

0:19:340:19:35

I don't think anything.

0:19:350:19:37

I'm just making sure that she gets the right help.

0:19:370:19:39

I wish it was Miles. I would take that any day, over...

0:19:390:19:41

Show her.

0:19:410:19:43

Go on.

0:19:430:19:45

Is that Jack?

0:19:510:19:52

He doesn't mean to.

0:19:530:19:55

You can wait outside.

0:19:590:20:01

Erm, everything all right?

0:20:020:20:03

Yes, it's fine.

0:20:030:20:05

-Are you sure?

-Yes.

0:20:050:20:06

Rita, can we start cleaning off some of these lacs, please?

0:20:060:20:09

-How's he doing?

-Pelvic fracture

0:20:090:20:10

and we're still waiting for the trauma CT to assess stability

0:20:100:20:13

and look for active bleeding.

0:20:130:20:15

-These from the prison?

-Yeah.

0:20:150:20:16

Could be one for Interventional Radiology.

0:20:160:20:18

How are you feeling?

0:20:180:20:19

A little better for seeing Rita here.

0:20:190:20:23

Is there a page missing? Next of kin.

0:20:230:20:25

We don't have a next of kin for you.

0:20:270:20:30

Is there anyone you'd like me to call?

0:20:300:20:31

Yeah. There is actually.

0:20:310:20:34

My wife.

0:20:340:20:36

But I doubt she'd come if you called her.

0:20:360:20:39

Well, I can let her know what's happened.

0:20:390:20:41

I haven't seen her in three years.

0:20:410:20:43

Since the day I got sent down.

0:20:430:20:46

All right, erm, let me know when the CT's back. Thank you.

0:20:460:20:49

Right. These lacerations ready to be sutured?

0:20:490:20:53

Still miss her, though.

0:20:530:20:54

Every minute of every day.

0:20:540:20:56

OK, well, that seems to have done the trick. What did you put on?

0:21:030:21:06

Elton John.

0:21:060:21:07

Well, I was under pressure!

0:21:070:21:09

OK. You can change it if you want, OK, Jack?

0:21:090:21:11

OK, this might sting a little bit.

0:21:130:21:15

Blimey.

0:21:190:21:21

I think I've read that autistic kids don't feel pain,

0:21:210:21:23

but this is something else.

0:21:230:21:26

-Well, maybe he just feels it differently.

-Maybe...

0:21:260:21:29

You can help us if you like, Jack.

0:21:290:21:30

Here, you wipe your fingers like this.

0:21:320:21:35

And then that goes in the bin, like that.

0:21:360:21:39

Want to try?

0:21:390:21:40

Well done.

0:21:480:21:49

OK, brave lad.

0:21:510:21:53

We'll get these bandages on you

0:21:530:21:54

and then we can get you off and find your mum.

0:21:540:21:57

JACK MOANS AND GRUNTS

0:21:570:21:58

Is it too tight?

0:21:580:22:00

I didn't hurt him, did I?

0:22:000:22:02

Does it feel weird, Jack?

0:22:020:22:04

It's off, it's off, Jack, it's fine!

0:22:040:22:06

He doesn't like the bandage.

0:22:060:22:08

Ah, he's a bit funny with textures.

0:22:080:22:10

You ready to go home, Jack? Daddy's come to pick us up.

0:22:100:22:13

How about we go and get some ice cream, eh?

0:22:130:22:16

Would you like that?

0:22:160:22:18

You gave me such a fright.

0:22:180:22:20

OK, come on. It's time to go. We need to give these back.

0:22:210:22:25

-It's OK.

-Calm down, Jack. Jack.

0:22:250:22:27

SHE SCREAMS

0:22:270:22:30

-Are you OK?

-Mmm...it's just my shoulder.

0:22:300:22:32

-OK, let's get you up.

-Take it easy.

0:22:320:22:33

-Have you got her?

-Yeah. You go.

0:22:330:22:36

All right.

0:22:360:22:38

Did you see a kid run past?

0:22:380:22:39

Yeah, that way.

0:22:390:22:41

How's it looking?

0:22:410:22:42

Well, your modelling career is over.

0:22:420:22:44

Huh!

0:22:440:22:45

You know, you smell bloody great.

0:22:450:22:48

Coco Chanel and cigarettes.

0:22:480:22:50

Don't suppose you couldn't wheel us out for one, could you?

0:22:500:22:53

Afraid not.

0:22:530:22:54

Huh. Better have another hit of this then.

0:22:540:22:58

Got to take what I can get.

0:22:580:23:00

Take my advice.

0:23:040:23:06

Don't go to prison.

0:23:060:23:07

How do you know I haven't been?

0:23:070:23:09

-Have you?

-No.

0:23:090:23:12

Never got caught.

0:23:120:23:14

Very chatty with the sex offender.

0:23:160:23:18

Flirty, some might say.

0:23:180:23:20

-Max!

-Meet me upstairs in ten minutes.

0:23:200:23:22

-I can't. I haven't got time.

-Make time.

0:23:220:23:24

Don't talk to my colleagues.

0:23:320:23:35

I was just being friendly.

0:23:350:23:36

You have no power over me any more.

0:23:360:23:38

I will not listen to you. And you cannot make me.

0:23:380:23:41

This is the last conversation we will ever have.

0:23:410:23:44

Can you...can you get something out of my back pocket?

0:23:440:23:47

No.

0:23:470:23:48

Do you want me to ask Zoe?

0:23:480:23:50

Please.

0:23:500:23:51

Take it.

0:24:020:24:03

I know you probably burnt yours.

0:24:030:24:05

Just tell me you don't think about me.

0:24:070:24:09

Tell me you don't still love me, even if you hate me.

0:24:110:24:14

Rita...

0:24:180:24:20

Oh, Rita. I have to ask you.

0:24:230:24:26

-Do you have any history with this guy?

-No.

0:24:260:24:29

He knows your name.

0:24:290:24:32

Well, he probably read my name badge.

0:24:320:24:34

I've got to get to my interview.

0:24:340:24:35

Just taking her off to x-ray.

0:24:370:24:39

I know what it is. It's dislocated. I've done it before.

0:24:390:24:42

-I can get it back in myself.

-Don't do that.

0:24:420:24:44

He's not in the department. I think he went into the hospital.

0:24:440:24:46

Please, find him for me.

0:24:460:24:48

-I'll get security to search.

-But I know what he looks like.

0:24:480:24:51

OK, but don't be long.

0:24:510:24:53

I'll get him back. I swear.

0:24:530:24:54

Right.

0:25:100:25:11

You really want to have a word with your interior designer.

0:25:110:25:14

Lock the door

0:25:140:25:16

As I was saying, I haven't got long, so whatever this is,

0:25:190:25:23

I expect it to be pretty impressive...

0:25:230:25:25

Well, if you want to see something impressive,

0:25:250:25:27

I'm holding the wrong instrument.

0:25:270:25:29

I've heard all the jokes before, Max, and they're not funny.

0:25:290:25:31

-So, if that's all this is...

-Wait, wait, wait, wait, wait! Sit down.

0:25:310:25:35

Tell me again what...erm...

0:25:360:25:37

What did you say when you came in?

0:25:370:25:40

I said whatever this is I expect it to be pretty imp....

0:25:400:25:43

OK, Kate, we're going to reduce your shoulder now,

0:25:490:25:51

but we're going to need to give you some IV sedation.

0:25:510:25:53

No. I don't want it.

0:25:530:25:56

I'm afraid Entonox isn't really going to cut it.

0:25:560:25:58

I don't care. You can just do it.

0:25:580:25:59

It's really not something I'd advise.

0:25:590:26:02

-I'm three months pregnant.

-OK.

0:26:020:26:04

This painkiller won't harm your baby.

0:26:040:26:07

You don't know that.

0:26:070:26:08

I do.

0:26:080:26:10

If you're worried about autism, there's no...

0:26:100:26:12

Just do it.

0:26:120:26:13

-You sure?

-Mm-hm.

0:26:130:26:15

-OK. All right.

-Ready?

0:26:150:26:18

Just try and stay as relaxed as possible.

0:26:180:26:20

Does he run away a lot?

0:26:220:26:24

All the time.

0:26:240:26:26

Every time we go out.

0:26:270:26:29

-SHE GRUNTS IN PAIN

-Oh, that's good.

0:26:290:26:31

And from home, too.

0:26:310:26:32

I have to keep all the windows locked.

0:26:340:26:35

It's like I'm just some stranger he's always trying to run away from.

0:26:350:26:39

I'm sure that's not true.

0:26:390:26:40

We're strangers to each other.

0:26:400:26:42

You're his mum. I'm sure he knows that.

0:26:420:26:45

I can't understand when he's upset, or thirsty, or in pain.

0:26:450:26:51

Or if he feels any pain.

0:26:510:26:52

I took him to the hairdresser the other day

0:26:520:26:54

and he screamed so badly they had to finish it on the street outside.

0:26:540:26:58

I...I look into his eyes and I...

0:26:580:27:00

-Any joy?

-No.

0:27:000:27:02

..just see nothing.

0:27:020:27:04

I have no idea what he's thinking.

0:27:040:27:06

If he's thinking anything at all.

0:27:060:27:08

Kate, darling...

0:27:080:27:10

-..no sign of him.

-He'll turn up. He always does.

0:27:120:27:15

No.

0:27:210:27:23

Could you call this number for us? Anna Hargreaves.

0:27:280:27:30

-She's a social worker.

-Please, don't. Don't.

0:27:300:27:32

Oh, no. Sit back. Watch your shoulder.

0:27:320:27:34

Kate. Kate, please, just keep your arm as still as possible.

0:27:340:27:38

Please.

0:27:390:27:42

Thank you.

0:27:420:27:44

We have to.

0:27:480:27:50

SHE CRIES

0:27:540:27:58

Can you ask that nurse to come back in? Rita?

0:27:580:28:01

-She's left the department now.

-Where's she gone?

0:28:010:28:03

You don't need to know that.

0:28:030:28:04

Please. Can you ask her to come back in?

0:28:040:28:07

She's not available.

0:28:070:28:09

I'm asking nicely.

0:28:090:28:10

And I'm telling you nicely, she's not available.

0:28:100:28:13

You're very protective. What?

0:28:130:28:15

You got your eye on her, have you?

0:28:150:28:16

Dr Ashford?

0:28:160:28:19

Right. CT results are back.

0:28:190:28:22

Large retroperitoneal haemotoma.

0:28:220:28:24

Need to get him to IR.

0:28:240:28:26

Would you let Radiology know we'll be five minutes?

0:28:260:28:28

Right, Mark, we need to do a procedure called an embolisation

0:28:280:28:31

to relieve the bleeding in your pelvis.

0:28:310:28:33

-We're taking you through now.

-No.

0:28:330:28:36

I'm not going.

0:28:360:28:37

Sorry?

0:28:370:28:39

I'm not going.

0:28:390:28:40

She'll be in as soon as she can.

0:28:440:28:45

Thanks.

0:28:450:28:46

I'm not putting our son into care! I am not giving up on him.

0:28:480:28:51

It's not about giving up on him!

0:28:510:28:54

I can't watch my wife and my son tear each other to pieces.

0:28:540:28:58

We're banging our heads against a brick wall, day after day,

0:28:580:29:01

hoping for... What?

0:29:010:29:04

A miracle?

0:29:040:29:06

We thought he might grow out of it. He hasn't.

0:29:060:29:09

And he won't.

0:29:110:29:12

But...he's our child.

0:29:120:29:15

He's not a baby. He's getting bigger, stronger...

0:29:150:29:19

This...this is only going to get worse.

0:29:190:29:23

I'm sorry, but we don't have any other choice.

0:29:230:29:25

We...we do.

0:29:250:29:26

I wish you believed that.

0:29:260:29:28

But you don't, do you?

0:29:280:29:30

And neither do I.

0:29:310:29:34

-Please, leave.

-We need to face reality.

0:29:340:29:36

-No!

-It's not going to get any better.

0:29:360:29:39

Get out.

0:29:390:29:41

Get out!

0:29:410:29:43

Are you having pain?

0:29:530:29:55

Oh, OK. You're bleeding a little.

0:29:560:29:58

Let's get you back on the bed.

0:29:580:30:00

Gently does it, gently does it. OK.

0:30:000:30:03

Ethan? I've got to go and interview. Can you take over here?

0:30:070:30:11

-Yeah, of course.

-It's a delicate one.

-It's OK.

0:30:110:30:13

Hey, Ethan, what are you doing? Mate, she's my patient!

0:30:150:30:18

She got a free upgrade.

0:30:180:30:20

Hello.

0:30:230:30:24

-KNOCKS DOOR

-Max?

0:30:270:30:29

Yeah? Just give me a minute!

0:30:290:30:31

Sh, sh, sh.

0:30:320:30:34

-Hi.

-CLEARS THROAT

0:30:370:30:39

-What are you doing?

-Sorry?

0:30:390:30:41

-What?

-I'm just...working out.

0:30:410:30:44

You never work out.

0:30:440:30:45

Which is why I thought now would be a good time to start.

0:30:450:30:48

Right. Well, we need a patient taken down to X-ray.

0:30:480:30:50

Yep. I'm on it like an Easter...

0:30:500:30:53

-bonnet.

-Have you been drinking?

0:30:530:30:55

I wish.

0:30:550:30:56

-That was...

-Impressive?

0:30:590:31:00

No. That was...that was just lucky!

0:31:000:31:03

I've got to try and sneak out of here now, without...

0:31:030:31:05

Max... I've got to go.

0:31:050:31:08

Don't get your knickers in a twist.

0:31:080:31:12

(I'm not wearing any.)

0:31:120:31:14

Rita Freeman?

0:31:220:31:23

-Yes. Yes, that's me.

-Hi. Sarah Lewis, HR manager.

0:31:230:31:26

-Hello.

-Come with me.

0:31:260:31:27

Heartbeat seems fine. You'll need a check up with Obs and Gynae.

0:31:280:31:32

There's the little face there. Do you see?

0:31:330:31:36

Reminds me of seeing Jack like that. He looked so perfect.

0:31:370:31:40

He was such a dream baby.

0:31:400:31:43

He never cried.

0:31:430:31:44

Never made a fuss.

0:31:440:31:45

I thought I was the luckiest mum in the world.

0:31:480:31:51

It's not that people with autism don't have feelings, it's...

0:31:510:31:54

more that they find it hard to make sense of them.

0:31:540:31:57

I have read the books.

0:31:570:31:58

Yes. Sorry.

0:31:580:31:59

I'm trying not to be bitter. It's...it's just hard.

0:32:010:32:04

It's understandable.

0:32:040:32:06

It's not what you expected.

0:32:060:32:07

You're bound to feel cheated.

0:32:070:32:10

And angry.

0:32:100:32:11

But there are still things to enjoy.

0:32:110:32:13

You just have to look a bit harder.

0:32:130:32:15

He's insistent he only wants to speak to her. Won't say why.

0:32:180:32:21

Well, where is she?

0:32:210:32:22

Having her interview.

0:32:220:32:24

He's tachycardic.

0:32:240:32:25

He's losing blood faster than we can get it in him.

0:32:250:32:28

This is ridiculous.

0:32:280:32:31

-Mr Richie, do you realise what's happening?

-I do.

0:32:310:32:34

Without this very straightforward procedure,

0:32:340:32:36

it's most likely you will suffer a fatal haemorrhage.

0:32:360:32:38

-Do you understand that?

-Yeah.

0:32:380:32:41

Let's just get him to Radiology.

0:32:430:32:45

I said. No.

0:32:450:32:47

Oh, he's a ward of the state for goodness' sake.

0:32:470:32:49

I have the right to refuse treatment, don't I?

0:32:490:32:52

Same as any other patient.

0:32:520:32:53

No, we don't have time for undergraduate ethics.

0:32:530:32:55

Connie, he's right. Clearly, he has capacity.

0:32:550:32:58

Why are you refusing treatment?

0:33:010:33:03

I want to speak to Rita.

0:33:030:33:05

Well, Staff Nurse Freeman is not available.

0:33:050:33:07

-You can speak to her afterwards.

-You don't get it.

0:33:070:33:09

She won't listen.

0:33:100:33:13

People used to listen.

0:33:130:33:15

Now, this is the only way I have left.

0:33:150:33:18

I need to make her understand.

0:33:200:33:22

Understand what?

0:33:220:33:23

I wrecked her life.

0:33:250:33:26

BP's dropping.

0:33:280:33:29

So, I've been building my experience

0:33:310:33:33

across a wide range of clinical areas.

0:33:330:33:35

Developing my knowledge of palliative care pathways,

0:33:350:33:40

and I also took the RCN Sexual Health course.

0:33:400:33:43

And you have a special interest in child protection, is that right?

0:33:430:33:47

Yes.

0:33:500:33:51

Can you tell us about that?

0:33:510:33:53

His GCS is dropping.

0:33:560:33:57

Right, let's get another unit through the rapid infuser, please.

0:33:570:34:00

We can't keep filling the bath with the plug out.

0:34:000:34:02

-Let's just get him to Radiology.

-No.

0:34:020:34:06

Text Rita. I want her here. Now!

0:34:060:34:09

Well, I've...I've always wanted to, erm...

0:34:090:34:13

Had an interest in...

0:34:130:34:15

Excuse, me can I have some water?

0:34:150:34:17

Take your time.

0:34:170:34:18

Perhaps, you could give us some examples.

0:34:220:34:24

OK, so, erm...

0:34:240:34:26

Recently, a child came in and erm...

0:34:260:34:30

it...it looked like she'd been abused by her carer.

0:34:300:34:34

PHONE PINGS AND VIBRATES

0:34:340:34:35

I'm so sorry, excuse me.

0:34:350:34:36

-Go on.

-HURRIEDLY: Well, what I'm trying to say is

0:34:440:34:46

child protection is something I take very seriously.

0:34:460:34:48

It's something that we all take very seriously and,

0:34:480:34:52

well, I mean...

0:34:520:34:53

That's about it.

0:34:530:34:54

Is everything all right, Rita?

0:34:570:34:59

I'm fine. Sorry. Thank you.

0:35:010:35:03

Thank you...thank you for your time.

0:35:030:35:05

That's awesome! Wish I had some money.

0:35:330:35:36

I have a steristrip.

0:35:380:35:39

Thanks. What you doing round here?

0:35:400:35:44

Looking for a kid.

0:35:440:35:45

I'm trying to hide from Tess as well.

0:35:460:35:49

CAR HONKS

0:35:490:35:51

Jack?

0:35:510:35:52

What you doing here, eh?

0:35:590:36:02

It's OK. Are you coming? Are you coming, Jack?

0:36:020:36:06

You want to see Max? Hear the music, yeah?

0:36:120:36:15

That's it, Jack.

0:36:180:36:20

Ash? What's going on?

0:36:230:36:26

-He's bleeding out and refusing treatment.

-Why?

0:36:260:36:28

I was hoping you could tell me that.

0:36:280:36:30

-You need to tell us what's going on, Rita.

-I don't know.

0:36:300:36:32

He says he only wants to talk to you.

0:36:320:36:34

-I've got nothing to say to him.

-How do you know this man?

0:36:340:36:36

Right. There you are. He's inside.

0:36:360:36:39

-I can't.

-He's refusing intervention until he speaks to you.

0:36:390:36:41

Now, we have put six units, FFPs and platelets

0:36:410:36:44

and still can't stop the bleeding.

0:36:440:36:46

I'm not going in there. I have got nothing to say to him.

0:36:460:36:49

You listen to me. Whatever your problem is,

0:36:490:36:50

you get in there, you be professional and you do your job.

0:36:500:36:53

-No.

-Excuse me?

0:36:530:36:55

I said, "No!"

0:36:550:36:56

This is Max, Jack.

0:37:060:37:08

He's playing his guitar.

0:37:080:37:10

Do you like music, Jack?

0:37:110:37:12

Thanks for the text.

0:37:340:37:37

Rita. They need you in there.

0:38:030:38:05

Please, just go in and see them. He just wants to talk.

0:38:070:38:10

I know what he wants.

0:38:110:38:12

-He wants me to listen to his lies.

-What do you mean?

0:38:140:38:17

I've heard them all before. And I have fallen for them before.

0:38:170:38:20

-How do you know this man?

-Please, Ash, please,

0:38:200:38:22

don't make me go back in there.

0:38:220:38:25

Well, if you don't, he's going to die on that trolley.

0:38:250:38:27

Your choice.

0:38:270:38:28

Are you sure you don't want me to call your wife for you?

0:38:310:38:33

Well, we'll keep you as comfortable as we can.

0:38:330:38:35

We'll just be outside. OK?

0:38:350:38:38

Thanks.

0:38:380:38:39

I'm here as your nurse. Nothing more.

0:38:500:38:53

I know.

0:38:530:38:55

I'm not going to ask for your forgiveness.

0:38:550:38:59

I know I'm past that.

0:39:000:39:02

I just want you to understand.

0:39:020:39:05

I wish I'd told you the truth from the start.

0:39:060:39:10

I thought I could forget it.

0:39:110:39:15

I could make it go away.

0:39:150:39:18

I was under so much pressure at school.

0:39:180:39:23

You know how much I was drinking.

0:39:230:39:25

I thought you were going to leave me.

0:39:270:39:29

I just wanted to...

0:39:290:39:32

blank things out.

0:39:320:39:34

The booze and...

0:39:340:39:37

..and the online stuff.

0:39:380:39:41

Please, don't make me hear this.

0:39:410:39:43

She...she came onto me.

0:39:430:39:46

She wasn't a kid.

0:39:460:39:49

She was a young woman.

0:39:490:39:52

She was 13 years old.

0:39:520:39:56

She was your pupil.

0:39:560:39:58

I was weak. I was stupid.

0:39:580:40:00

She was everything you weren't.

0:40:010:40:04

She worshipped me.

0:40:040:40:06

She never questioned me, or made me feel stupid.

0:40:060:40:09

Don't you dare try and blame this on me.

0:40:090:40:12

This is not my fault.

0:40:120:40:13

I know. It's my fault.

0:40:130:40:16

This is all my fault.

0:40:160:40:19

I...I lost myself.

0:40:190:40:22

I needed your help.

0:40:220:40:24

I still need you now.

0:40:240:40:27

It's too late.

0:40:270:40:29

I've missed you so much.

0:40:290:40:31

I thought I was going to die from missing you.

0:40:320:40:37

Don't.

0:40:370:40:38

Have you missed me?

0:40:400:40:41

I missed the man I married.

0:40:420:40:45

Every minute of every day.

0:40:450:40:48

And you are not him.

0:40:500:40:52

I am. Rita, I am.

0:40:520:40:53

No, no, you're not.

0:40:530:40:55

Yes! Look at the picture.

0:40:550:40:58

That's the real us.

0:40:580:41:00

We just lost each other for a bit.

0:41:000:41:03

I know you still love me.

0:41:030:41:06

No, I don't. I don't.

0:41:070:41:09

Then say it.

0:41:090:41:12

Say it!

0:41:120:41:14

We belong together.

0:41:140:41:16

Is everything OK?

0:41:160:41:17

I'm ready for the treatment now.

0:41:240:41:26

Right. This BP is still not picking up.

0:41:260:41:30

Let's hope you haven't left it too late.

0:41:300:41:32

Right, you contact the surgeons, let them know he's agreed.

0:41:320:41:36

Thanks, Lofty.

0:41:360:41:39

Oh, is he OK?

0:41:390:41:40

He's fine. Been hanging out with Max.

0:41:400:41:42

Who's Max?

0:41:420:41:43

Show her the video.

0:41:430:41:45

Mark? Keep pushing the bloods.

0:42:070:42:10

Mark, can you hear me? Sats have dropped to 92, CO2's rising.

0:42:100:42:14

All right. We can't move him like this.

0:42:140:42:16

We need to go for a Rapid Sequence Induction.

0:42:160:42:18

Yeah, pass me the sux. Thank you.

0:42:180:42:20

All right, I'll reduce the ketamine in case he arrests on induction.

0:42:200:42:24

-OK, no, stop!

-What?

0:42:240:42:26

Don't use sux. He can't have sux.

0:42:260:42:28

Sux apnoea.

0:42:290:42:31

Right, 50 of rocuronium, please.

0:42:320:42:36

OK, rocuronium going in. Yup.

0:42:380:42:43

OK.

0:42:430:42:44

Bougie.

0:42:440:42:45

Inflate the cuff, please. Breath sounds are good.

0:42:500:42:54

Yup. Cricoid off.

0:42:540:42:55

Rita just gave me this.

0:42:550:42:57

Next of kin details from the prison. He's her husband.

0:42:570:43:00

What?

0:43:010:43:02

Miles? The social worker's here.

0:43:170:43:20

Don't wake him.

0:43:270:43:28

Did you not even think to pick up a phone?

0:43:360:43:39

I was...in the moment.

0:43:390:43:41

It would have taken you less than a minute to call us

0:43:410:43:43

and tell us you found him.

0:43:430:43:45

You cannot exist in your own little world.

0:43:450:43:48

You're part of a team.

0:43:480:43:49

And I need to know that I can rely on you.

0:43:490:43:51

But that being said, you did well with Jack.

0:43:530:43:56

He seemed to respond to you and Max.

0:43:560:43:58

And the parents needed to see that.

0:43:580:43:59

What's going to happen?

0:43:590:44:01

They're going to carry on with him at home.

0:44:010:44:02

Hopefully with a lot more support.

0:44:020:44:04

I think you showed them a bit of light at the end of the tunnel.

0:44:040:44:07

-Sister Bateman?

-Hmm?

0:44:090:44:10

I can't help noticing...

0:44:110:44:13

We've all noticed that you seem a little uptight since the accident.

0:44:130:44:17

Is there anything that you want to talk about?

0:44:170:44:21

A few of us are going to the pub after shift.

0:44:210:44:23

You could join us for a nice sherry or something?

0:44:230:44:26

Might help you relax a bit?

0:44:260:44:27

I'm fine, but thank you.

0:44:290:44:30

I mended the dishwasher!

0:44:320:44:34

What would I do without you, Lofty?

0:44:340:44:36

-Mrs Beauchamp?

-What are you doing?

0:44:360:44:38

-Yes?

-I just wanted to say nice move.

0:44:380:44:41

What?

0:44:410:44:42

I hope this isn't too presumptuous, but I'm taking it as a sign.

0:44:420:44:45

About who you're backing in our little competition.

0:44:450:44:47

Maybe, I can take you out to dinner? To say thank you...

0:44:470:44:49

Ah...

0:44:490:44:51

Oooh!

0:45:030:45:05

Tess? Need you in your office. It's Rita.

0:45:050:45:07

Ah.

0:45:070:45:08

Do you have any idea how many ethical

0:45:110:45:13

and professional standards you've breached today?

0:45:130:45:16

Not only did you lie about your relationship with a patient,

0:45:160:45:19

putting yourself in an ethically very dubious position,

0:45:190:45:23

you then tried to conceal the lie by taking his notes.

0:45:230:45:27

Not to mention the fact that you've lied to your employers,

0:45:300:45:33

your colleagues.

0:45:330:45:35

I mean, the lack of probity, of integrity that you've shown today

0:45:350:45:38

is absolutely disgraceful.

0:45:380:45:40

Rita.

0:45:400:45:41

Do you have anything to say for yourself?

0:45:430:45:45

-No.

-Then get out.

0:45:470:45:50

Connie, it's not your place to discipline the nurses.

0:45:500:45:52

This is my team. And I will not tolerate what I've seen today!

0:45:520:45:55

-It's Tess's team.

-She jeopardised a patient's care!

0:45:550:45:58

I will deal with my nurses.

0:45:580:46:00

Face it, bro, it's over.

0:46:110:46:14

Hope you're going to be gentlemanly in defeat.

0:46:140:46:16

Sorry?

0:46:160:46:18

Well, let's just say the gods AND goddesses are smiling on me.

0:46:180:46:22

HE SCOFFS

0:46:240:46:25

Two bottles of larger, please.

0:46:470:46:50

You deserve this. You did really well today.

0:46:500:46:52

Oh, thanks.

0:46:520:46:54

No, I mean it. I'm really proud of you.

0:46:540:46:56

Even if you are a bit of a div sometimes.

0:46:560:46:59

Most of the time.

0:46:590:47:01

Do you play any instruments?

0:47:010:47:02

What?

0:47:020:47:03

Right, my round, I think.

0:47:030:47:04

What are we having?

0:47:060:47:07

I was just saying that you guys did really well today with that lad.

0:47:070:47:11

-Mmm.

-And there is a great charity for autism.

0:47:110:47:14

And they're always short of funds.

0:47:140:47:15

So, I thought, with all the money that you've raised...

0:47:150:47:18

And the rest?

0:47:180:47:20

Right, I've signed us up.

0:47:250:47:28

An open mic night?

0:47:280:47:30

I'll play bass.

0:47:300:47:31

Can you actually play bass?

0:47:310:47:33

I played double bass at school. Grade 3.

0:47:330:47:36

'The Lodgers'?

0:47:360:47:38

Good, isn't it? Just came to me.

0:47:380:47:41

You're a genius...

0:47:410:47:42

Rita.

0:47:430:47:44

Rita.

0:47:450:47:47

Hey...

0:47:470:47:48

Why didn't you just tell us the truth?

0:47:490:47:51

I could have helped you.

0:47:550:47:56

I'm so sorry.

0:47:580:48:00

It wasn't your fault, Rita.

0:48:000:48:02

It wasn't your fault he did what he did.

0:48:030:48:05

I gave evidence in his defence.

0:48:070:48:09

I believed him.

0:48:090:48:11

So, I stood up in court and I told everyone she was lying.

0:48:130:48:16

It was my husband who was abusing her.

0:48:190:48:22

-Come on, let me walk you home.

-It's all right.

0:48:220:48:24

-I've wasted enough of your time today.

-Hey...

0:48:240:48:27

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