Home Casualty


Home

Similar Content

Browse content similar to Home. Check below for episodes and series from the same categories and more!

Transcript


LineFromTo

Seen some changes, you and I, eh?

0:00:020:00:03

-Have you talked to him about retiring yet?

-Not yet.

0:00:030:00:05

-Andrea!

-It certainly is.

0:00:050:00:08

It looks like an alleged sexual assault.

0:00:080:00:11

OK, I'll take the victim.

0:00:110:00:12

Are you sure you want to take this, Rita?

0:00:120:00:14

What are you doing?

0:00:160:00:17

Jeff, I've called off my engagement.

0:00:180:00:21

So Charlie didn't take to the "R" word very well.

0:00:210:00:24

I'm sorry.

0:00:240:00:25

I don't want to have any more kids.

0:00:250:00:27

I just want to have some fun.

0:00:270:00:28

I am so sor....

0:00:280:00:29

TELEPHONE RINGS

0:01:060:01:09

How are we doing with the staffing costs?

0:01:110:01:13

-Reduced for today, but we might be lacking...

-Tess?

0:01:130:01:15

One second! But we might be lacking in experienced staff,

0:01:150:01:18

-but as far as numbers are concerned...

-Tess, can I just ask you...?

0:01:180:01:20

Can you just hold on?

0:01:200:01:22

Uh, where was I?

0:01:230:01:25

-Um... Numbers.

-Er, full quota, just lower bands.

0:01:250:01:28

Right. Well. Do more with less!

0:01:280:01:30

That should be the new NHS motto.

0:01:300:01:32

-Tess, can we just...?

-Tess...

0:01:320:01:34

Charlie! Why are you here?

0:01:340:01:36

I work here.

0:01:370:01:39

Well, I left you a message.

0:01:390:01:40

-When?

-This morning...on your land line.

0:01:400:01:43

Oh! I never listen to that thing, it's always some robot

0:01:440:01:47

telling me I'm owed money for an accident I've had.

0:01:470:01:50

-Well, I'm here now...

-We're covered. Go home. Put your feet up.

0:01:500:01:54

-Play golf or something.

-Golf?

0:01:540:01:57

Ah! Could be a good time to start?

0:01:570:01:59

This isn't by any chance gradual retirement in operation, is it?

0:02:010:02:04

No, this is just administration. No-one can force you out.

0:02:040:02:07

See you tomorrow?

0:02:090:02:10

All right. I look forward to it.

0:02:110:02:13

Tess, I really can't find those bougies, have they been moved?

0:02:150:02:18

I've a patient wanting to speak to somebody in charge, they've been here since seven.

0:02:180:02:21

If I'm going to lose one good nurse for two wet ones, we're in trouble.

0:02:210:02:24

Step up. Use your initiative.

0:02:240:02:27

Next to the LMA's. And I'll be with them as soon as possible.

0:02:270:02:30

Do I really want a department without Charlie?

0:02:470:02:49

All good things must come to an end.

0:02:510:02:53

With all due respect, that doesn't help.

0:02:550:02:57

PLAYFUL SHOUTING

0:03:010:03:03

SHE LAUGHS

0:03:110:03:13

-Tess?

-Mmm?

0:03:170:03:18

-You've no Rita, can't get her on the phone either.

-Keep trying please, Noel.

-OK.

0:03:180:03:22

-Charlie can't have got far.

-And ten seconds after we get Charlie back in,

0:03:220:03:25

Rita walks through the door.

0:03:250:03:26

So Noel, just keep trying.

0:03:260:03:28

Relatively quiet, I think I'll go for a quick break.

0:03:280:03:30

Ash, never say it's quiet.

0:03:300:03:32

Absolutely.

0:03:320:03:34

RADIO: 'Holby Control to 3006, over.'

0:03:360:03:39

3006 receiving.

0:03:390:03:41

'Emergency Paediatric transfer from Wadley GP surgery Walton Road

0:03:410:03:45

'to Holby cardiothoracic department.

0:03:450:03:48

-'Over.'

-3006, we'll take it. Over.

0:03:480:03:50

-Want me to drive?

-Erm, actually, Tamzin, I'm going to stick you with Big Mac today.

0:03:500:03:54

-But I'm with Jeff today.

-Well, I just want to mix things up a bit.

0:03:540:03:56

I'll go with Jeff. Don't want you getting sick of the sight of each other.

0:03:560:03:59

Right. OK. All aboard the skylark with captain Big Mac.

0:04:010:04:04

-Mac?

-Yeah.

0:04:130:04:15

Does Dix ever say anything, you know, about me and Jeff?

0:04:150:04:17

No! No.

0:04:170:04:18

DOORBELL RINGS

0:04:300:04:31

DOORBELL RINGS AGAIN

0:04:350:04:37

Rita!

0:04:390:04:41

DOORBELL RINGS CONTINUOUSLY

0:04:430:04:47

Nice socks.

0:04:480:04:49

Where's Tamzin?

0:04:540:04:55

She's out on a shout with Big Mac.

0:04:550:04:57

-It's me and you.

-Oh!

0:04:570:04:59

Well, don't look so happy about it.

0:04:590:05:02

All right! Here we are!

0:05:070:05:09

What took you? I thought you'd changed your mind, then.

0:05:090:05:12

-How long has he been ill for?

-Since birth!

-Mum!

0:05:120:05:15

Last Tuesday. He's been listless since then.

0:05:160:05:18

He's due a check up soon but the new surgeon wants him in now.

0:05:180:05:22

-All right. Well, at least you get a day off school!

-School's not so bad.

0:05:220:05:24

Really? I hated school. I had a horrible teacher.

0:05:240:05:27

She were always having a go at me, "Mackenzie Chaulker where's your homework?"

0:05:270:05:30

I told her an elephant ate it.

0:05:300:05:32

I don't think she believed me.

0:05:320:05:33

-I wonder why that is, eh?

-Well, you believe me, don't you?

0:05:330:05:37

-What kind of elephant?

-African.

0:05:370:05:40

-Big or little ears?

-Little ears?

0:05:400:05:42

Ah, see if I'd known my elephants better, I'd have got away with it.

0:05:430:05:46

He's sharp as a knife, don't cut yourself.

0:05:460:05:49

Can this be the last time?

0:05:540:05:55

-Last time?

-I'm tired.

0:05:550:05:58

-Well, you shouldn't have been up all night partying.

-I'm tired.

0:05:580:06:01

-Ready when you are, Mac.

-Right you are!

0:06:040:06:06

WOMAN SCREAMING

0:06:100:06:12

I'm still here!

0:06:310:06:33

DOORBELL RINGS

0:06:360:06:37

You're alive then.

0:06:420:06:44

I'm not going in if I'm going to lose my job.

0:06:450:06:48

I haven't said a thing.

0:06:480:06:50

You all right?

0:06:520:06:54

You mean sober.

0:06:540:06:55

What do you want?

0:06:590:07:00

-Coffee?

-Mm.

0:07:000:07:02

Well. Want to make it more interesting?

0:07:030:07:06

I am joking, Ash.

0:07:080:07:09

CAR HORN BEEPS

0:07:220:07:24

HANDSET BEEPS

0:07:350:07:38

So are you full-time, then?

0:07:380:07:39

Yeah, I tried leaving him in a phone box with a note,

0:07:390:07:42

but social services made me take him back.

0:07:420:07:45

What did you do before?

0:07:460:07:48

Not sure I remember that far back.

0:07:480:07:50

I don't know much before he got ill.

0:07:500:07:52

CLATTERING, MONITOR BEEPS

0:07:550:07:57

Jake? Jake? Can you open your eyes for me?

0:07:570:08:00

-OK, he's losing output.

-I know.

0:08:010:08:03

Mac? Can we have the blues on, please?

0:08:030:08:05

He's in VT and he's getting cyanosed.

0:08:050:08:07

-We have to shock him, so let's divert to the ED and give them the heads up.

-OK!

0:08:070:08:11

THEY CRY OUT

0:08:300:08:32

What are you doing, Mac!?

0:08:400:08:41

Come here!

0:08:440:08:46

You OK?

0:08:510:08:54

I fell on him.

0:08:540:08:56

Ah! Oh. I'm sorry, Jake.

0:08:560:08:59

This is really tight, I can't ventilate him.

0:09:010:09:03

No? OK. I'm going to have to do an escharotomy.

0:09:030:09:06

-Have you eaten recently?

-Yes?

0:09:090:09:12

Good air entry on both sides.

0:09:370:09:39

-Ah. Mrs Beauchamp.

-Yes?

0:09:400:09:42

Ambulance service were bringing a young boy in to cardio unit

0:09:420:09:45

but he went into VT so they're diverting here.

0:09:450:09:47

Who's the consultant upstairs?

0:09:470:09:49

Um, a Miss Somerton, is coming down?

0:09:490:09:51

Good. Let's see if we can't change her opinion about this

0:09:510:09:54

department before she swans back off back to the US.

0:09:540:09:56

60 and regular? I thought you said he was in pulseless VT?

0:09:560:09:59

He was. I didn't have time to shock him.

0:09:590:10:01

You just say there for a bit, erm, Foxy, give us a hand can you, mate?

0:10:010:10:04

All right? Sit there, we'll be back in a second.

0:10:040:10:06

Do we no longer bring them up to the door?

0:10:060:10:08

-Had to do an Emergency stop I am afraid, Mrs B.

-Why?

0:10:080:10:11

Ah, some little blighter dived out in front of the ambo,

0:10:110:10:14

nearly killed us.

0:10:140:10:15

Don't worry, I'll find him.

0:10:150:10:17

Straight through to resus, please.

0:10:170:10:19

I'm... I am so, so sorry. That really shouldn't have happened.

0:10:210:10:26

Are you OK?

0:10:260:10:27

Two kids talking on Boxing Day, one says, "I got a bike for Christmas."

0:10:290:10:33

The other one says, "So did I and a games console,

0:10:330:10:36

"a trip to Disney land, two puppies and a skateboard park."

0:10:360:10:38

The first says, "That's not fair, I wish I had heart disease."

0:10:380:10:41

So why are you splitting us up?

0:10:540:10:55

Well, it weren't two minutes ago that she left some poor

0:10:570:11:00

bloke at the altar.

0:11:000:11:01

Ah, it wasn't that bad.

0:11:020:11:04

Shall we ask him how bad it was?

0:11:050:11:07

Just don't want you getting hurt, that's all.

0:11:070:11:10

I don't mind.

0:11:120:11:13

Why don't you mind?

0:11:150:11:16

RADIO: 'Holby Control to 3006.'

0:11:200:11:22

3006 go ahead, over.

0:11:250:11:27

'3005 has been involved in a minor RTC,

0:11:270:11:30

'both crew members attending Holby ED for treatment.

0:11:300:11:33

'Can you please check out the crew. Over.'

0:11:330:11:36

3006 received and on our way, over.

0:11:360:11:39

I am sure she'll be fine.

0:11:390:11:40

I'm not an alcoholic.

0:11:480:11:49

What happened yesterday has never happened before.

0:11:490:11:53

Never?

0:11:530:11:55

Please don't give me a hard time.

0:11:550:11:57

I'm not. Do you know who does?

0:11:570:11:59

You.

0:12:000:12:01

You have no idea what it's been like.

0:12:010:12:04

Really? Try me.

0:12:050:12:07

My husband is a convicted child molester.

0:12:090:12:13

OK. But he's not you.

0:12:140:12:16

No, but... I fell in love with him. I defended him.

0:12:160:12:21

So what does that make me?

0:12:210:12:22

I got by because I lied to myself.

0:12:250:12:27

In my head, he was locked up in a horrible, little box,

0:12:270:12:31

out of sight, out of mind.

0:12:310:12:33

It was no longer real.

0:12:330:12:35

And then he rocked up and I could see it in you.

0:12:350:12:39

In all of you. Disgust.

0:12:390:12:42

No-one's blaming you, Rita.

0:12:420:12:44

I want to see you get back to doing the job that you love.

0:12:440:12:47

I'm a big girl, Ash, I will sort it out, I promise.

0:12:470:12:50

HE SIGHS

0:12:520:12:54

I'll tell Tess that you're ill.

0:12:560:12:58

Shall I come back later?

0:13:070:13:08

No. It's fine. Thank you.

0:13:080:13:10

OK.

0:13:130:13:14

TV: '..Distinctive golden colour,

0:13:280:13:30

'the town grew as a centre for the textiles industry.'

0:13:300:13:33

-Initially, it was...

-Chances are, I'm not going to be able to

0:13:350:13:38

be a firefighter, so that's going to be a very difficult

0:13:380:13:41

hole to fill and it's something that I love doing, I'm giving up

0:13:410:13:47

so much. It is a good feeling and it's some...

0:13:470:13:50

The picturesque golf courses here are a challenge to beginners and more experienced alike,

0:13:520:13:57

we pride ourselves on our sprawling fairways and well cut greens,

0:13:570:14:01

we have two 18-hole golf courses and 9-hole pigeon putt,

0:14:010:14:05

at Royal Gotts we pride ourselves on a warm welcome and look forward to...

0:14:050:14:10

We got an output, it's a bit tachy but it is there

0:14:120:14:15

and it's a sinus rhythm.

0:14:150:14:16

OK. Remove the bag and replace the oxygen then, please.

0:14:160:14:19

What's to do?

0:14:190:14:21

Looks like the curtain call.

0:14:210:14:23

Tash, can you contact Paeds Intensive Care,

0:14:230:14:26

and get me FBC's, U's and E's please, a 12-lead ECG, as well.

0:14:260:14:30

No, no, no. The fat lady has not sung.

0:14:300:14:32

I'll whip these charlatans into shape, we'll have him back

0:14:320:14:35

and telling us what to do in no time.

0:14:350:14:37

Mrs Beauchamp, be careful not to hurt my patient.

0:14:370:14:41

We're old friends aren't we, Jake?

0:14:410:14:43

-Ah. He's in good hands.

-Why not let the expert be the judge of that?

0:14:430:14:46

You three can continue to wait for Macbeth.

0:14:480:14:50

TELEPHONE RINGS

0:14:530:14:55

Oh... I thought this one was free, sorry.

0:15:030:15:06

Could you just take a seat? ..Excuse me?

0:15:060:15:08

Excuse me. Wait up.

0:15:080:15:10

-Oh.

-It hurts.

0:15:210:15:23

I bet it does.

0:15:240:15:26

-And he ran off?

-Yes, but he's in the hospital somewhere -

0:15:260:15:28

when I find him, I'm going to wring his bloomin' neck.

0:15:280:15:31

Right, were there any witnesses?

0:15:310:15:32

What, you think I'd slam on the brakes for no apparent reason?

0:15:320:15:35

No! No, no, no. It's just, the patient's mum has got an injury to her arm,

0:15:350:15:38

the patient himself could be put in further jeopardy and a colleague has been injured.

0:15:380:15:42

I've got to be watertight on this.

0:15:420:15:43

But I'll ask around and see if anyone saw anything.

0:15:430:15:46

And don't worry, no-one's going to sue you...hopefully.

0:15:460:15:50

-HE SIGHS

-Terrific(!)

0:15:500:15:53

Jake was born with a bicuspid aortic valve, picked up during infancy.

0:15:530:15:57

At seven, he developed infective endocarditis staphaureus,

0:15:570:16:00

which led to severe aortic reflux.

0:16:000:16:02

-And the valve replacement?

-Of course. Then, he developed

0:16:020:16:05

a post surgical haemorrhage. That's where I came in.

0:16:050:16:07

I had to reopen the chest, repair a tear at the back of the aorta

0:16:070:16:10

and insert a new prosthetic valve.

0:16:100:16:12

He's had three years of health.

0:16:120:16:13

Well, the GP said he's been ill for the past couple of weeks, with

0:16:130:16:16

flu-like symptoms similar to those prior to the valve replacement.

0:16:160:16:20

It's almost definitely a repeat.

0:16:200:16:22

And, as I'm here,

0:16:220:16:24

I'm not planning on letting a young boy die without trying.

0:16:240:16:27

Sorry. Pins and needles.

0:16:270:16:29

Not been keeping up with my yoga.

0:16:290:16:31

Yoga?

0:16:310:16:32

Let's discuss Jake's options.

0:16:340:16:36

Wow.

0:16:410:16:42

You are still looking at the bruise, Jeff?

0:16:420:16:44

-Not any more, no.

-Oh!

0:16:440:16:45

So, what happened?

0:16:470:16:49

It was Mac, he, he slammed on the brakes.

0:16:490:16:52

Oh. Did you ask why?

0:16:520:16:54

Nah, I didn't have time to. Patient was in VT.

0:16:540:16:56

My word.

0:16:590:17:00

Sorry... That is one of the biggest abscesses I have ever seen.

0:17:010:17:05

-HE CRIES OUT

-It's all right.

0:17:080:17:11

It's all right.

0:17:110:17:12

How long has it been there?

0:17:140:17:15

Right, I need to call the dental hospital,

0:17:180:17:20

see if we can't get you checked today.

0:17:200:17:22

And I'll speak to one of our doctors

0:17:220:17:24

to prescribe you some antibiotics. OK?

0:17:240:17:27

HE CRIES OUT IN PAIN

0:17:280:17:29

I'm going to get you some painkillers, all right?

0:17:290:17:32

Whoa! Calm down.

0:17:320:17:33

It's all right, it's fine, calm down.

0:17:330:17:35

HE SOBS

0:17:350:17:38

It's all right, it's all right.

0:17:380:17:40

GOLF CLUB HITS BALL

0:17:580:18:00

BALL HITS ROOF

0:18:220:18:24

All yours.

0:18:450:18:46

-You called?

-Ah, can we update this lovely lady, please?

0:18:480:18:52

Yes, of course.

0:18:520:18:53

Erm, Jake is stable, but I suspect a recurrence of the endocarditis.

0:18:530:18:57

This needs proving before we treat him.

0:18:570:19:00

I'm going to order a transthoracic echo.

0:19:000:19:02

You always knew this was a possibility.

0:19:020:19:04

I told you we should have put him in one of them bubbles.

0:19:040:19:06

You'll both get through it again.

0:19:060:19:08

Yeah, world keeps turning, doesn't it?

0:19:080:19:10

And thanks to your ambulance driver,

0:19:100:19:12

he might have caused further damage to the valve.

0:19:120:19:14

So...we'll operate today.

0:19:140:19:16

Are you serious about that?

0:19:160:19:18

I mean, I've examined him, there is no evidence...

0:19:180:19:21

Can you get your minions to do the echo here?

0:19:210:19:23

There are no indications of damage to the valve.

0:19:250:19:28

Tess, could you call Cardiology? I'd like a portable echo, please?

0:19:280:19:31

I've learnt it's easier to just do what she says.

0:19:310:19:34

Does anyone want a coffee?

0:19:340:19:35

-It tastes like mud, but it's almost warm.

-No, thank you.

0:19:350:19:38

You come here and tell me this child is strong enough for surgery.

0:19:420:19:45

What?

0:19:470:19:48

Pins and needles shouldn't last that long.

0:19:480:19:50

As we get older, everything takes longer.

0:19:500:19:53

Right. I'd be much happier getting him stable,

0:19:540:19:56

giving time for the antibiotics to kick in before surgery.

0:19:560:20:00

You're not a surgeon any more.

0:20:000:20:02

Tess? Er, my phone was on silent.

0:20:020:20:05

I popped in to see Rita, she's not very well.

0:20:050:20:08

I think it's viral, so she should be back tomorrow, OK?

0:20:080:20:10

Thank you.

0:20:100:20:11

-Charlie?

-Charlie.

0:20:120:20:14

Well, while you deal with personnel problems, I'll go see Elliot Hope about theatre space.

0:20:140:20:18

-No, you're not listening.

-That's cos I'm the master and you're the student.

0:20:180:20:21

Tess, could you also call Elliot for me, please?

0:20:220:20:25

I'd like to have a word with him.

0:20:250:20:27

TV PLAYS IN BACKGROUND

0:20:290:20:33

MOBILE PHONE RINGS

0:20:330:20:35

-What?

-Charlie. Rita's ill.

0:20:380:20:42

So how much do I need to grovel to get you to come back in?

0:20:420:20:45

-Well, maybe I should have stayed.

-'Oh, Charlie...'

0:20:450:20:49

I'll be 15, maybe 20 minutes.

0:20:510:20:54

'Are you at home?'

0:20:540:20:56

No. I'm actually at the bookies right now.

0:20:560:21:00

Bookies?!

0:21:000:21:02

We can save you a fortune by distracting you with some work.

0:21:020:21:05

Yeah, all right. Nag me when I get there!

0:21:060:21:09

How long have you been like this?

0:21:110:21:13

Two weeks, maybe?

0:21:160:21:18

How have you been managing the pain?

0:21:180:21:20

I thought someone might have been spiking my mouthwash?

0:21:260:21:29

With what?

0:21:300:21:32

Bleach.

0:21:320:21:33

Who would do that, Danny?

0:21:330:21:34

I dunno...

0:21:340:21:37

I don't know.

0:21:370:21:39

It's just, just...

0:21:390:21:41

..people do mad stuff, don't they?

0:21:420:21:44

It's... It's weird.

0:21:440:21:46

Right. I don't think it's been caused by the bleach.

0:21:460:21:49

I'm going to prescribe some antibiotics to get

0:21:490:21:52

rid of the infection,

0:21:520:21:53

and you need to start taking them straightaway. OK?

0:21:530:21:56

Right. Yeah.

0:21:560:21:58

Where you live, Danny? With your parents?

0:21:580:22:01

I've got a bedsit on Farmead,

0:22:010:22:02

but I'm putting in bids to get out, though.

0:22:020:22:06

Right, I'll leave you with the nurse

0:22:070:22:10

and he'll sort out the antibiotics for you, OK?

0:22:100:22:13

Safe.

0:22:160:22:18

Ah!

0:22:190:22:20

Ah! Da-da-da-da-da-daaaa! The cavalry arrives.

0:22:280:22:32

Great! Can you start on these?

0:22:320:22:35

Yeah. Sure.

0:22:350:22:36

You smell minty.

0:22:360:22:38

That would be the mints.

0:22:380:22:39

Well, his state. His appearance, signs of malnutrition...

0:22:410:22:45

I'd worry about his ability to look after himself.

0:22:450:22:48

I'd alert social services,

0:22:480:22:50

and refer him for a psych assessment.

0:22:500:22:53

-Is he of age?

-Yes.

-Well, tread carefully.

0:22:530:22:55

-Don't want to scare him off.

-Thanks, Ash.

0:22:550:22:57

Ah! There he is! You stupid idiot.

0:23:010:23:04

Oh... No, no, no!

0:23:040:23:05

Hang on, Mac! Wait! Whoa!

0:23:050:23:06

It's OK, Danny, it's fine.

0:23:090:23:10

It's all right. Calm down.

0:23:100:23:14

She is his surgeon.

0:23:140:23:16

That's what concerns me.

0:23:160:23:17

She wouldn't rush a procedure like this on a boy so young,

0:23:190:23:22

it's too risky.

0:23:220:23:23

Where does she normally practise?

0:23:230:23:25

Boston.

0:23:250:23:26

Maybe she's due back and she doesn't trust anyone else to do the procedure as well as she will.

0:23:260:23:31

That sounds like her.

0:23:310:23:33

I ain't saying nothing.

0:23:360:23:37

If you don't tell my boss what you did I will not be held responsible for my actions.

0:23:370:23:41

Big Mac, don't threaten the patients.

0:23:410:23:42

-But he caused an accident, man - he made me brake!

-I didn't!

0:23:420:23:45

-Did you make him brake, Danny?

-Yeah.

-See?

0:23:450:23:48

I...I mean, no! No.

0:23:480:23:50

I ain't saying nothing.

0:23:500:23:51

Oh! Give me strength.

0:23:510:23:53

-Just try and stay calm, all right?

-Calm?!

0:23:530:23:55

Come on, Lofty, you know the sort of world we live in!

0:23:550:23:57

I had a seriously ill little boy in the back of my ambulance

0:23:570:24:00

and any minute now his mam is going to get a phone call, from some dodgy solicitors,

0:24:000:24:04

"have you had an accident in the past two years" and then, bang!

0:24:040:24:07

Big Mac costs the NHS thousands and I lose my job.

0:24:070:24:09

Do you want him to lose his job, Danny?

0:24:090:24:12

-I ain't making a statement, because, cause that's how they get you.

-Who?

0:24:120:24:15

Plod! I... I plead the fifth.

0:24:150:24:18

-Look here, you moron! We're not in America!

-Mac, please.

0:24:180:24:20

Just let me talk to him, yeah?

0:24:200:24:22

All right.

0:24:260:24:28

-Danny...

-I'm off.

-Why?

0:24:330:24:37

Cos he's gonna call Five-O.

0:24:370:24:39

This isn't a police issue!

0:24:390:24:40

He just needs you to speak to his boss, so he doesn't get sued.

0:24:400:24:43

Nah. Nah...

0:24:450:24:48

But what about your medicine?

0:24:480:24:51

Just come and sit down, yeah?

0:24:510:24:52

I'll get it for you as soon as I can.

0:24:530:24:55

What?

0:25:180:25:19

I had a drink. I was at the pub when you called.

0:25:190:25:22

I shouldn't really be here, should I?

0:25:220:25:24

Then why are you?

0:25:240:25:26

I haven't treated anyone, don't worry, you're not going to get sued.

0:25:260:25:29

-I'm sorry.

-Why say yes, then?

0:25:290:25:32

Because a couple of hours out there and I was dying of boredom.

0:25:320:25:35

That's why.

0:25:350:25:36

How's Operation "don't mess up and don't get a mouthful off Tess"?

0:25:440:25:47

-I've got a patient...

-Yep. I've got about 12.

0:25:470:25:50

-I don't think he's capable of looking after himself.

-No, I don't think I am, sometimes.

0:25:500:25:54

-That's it, print that off.

-Please!

-Don't test me.

0:25:540:25:56

If I booked an appointment, I don't think he'd get to it.

0:25:560:25:59

-Well, then you need to speak to a mental health nurse.

-We got one?

0:25:590:26:02

-Charlie!

-Charlie!

0:26:020:26:03

I'm glad it's quiet enough for leisurely chats.

0:26:030:26:06

I need to see Charlie, Tess.

0:26:060:26:07

Yeah, well, he's off duty - again.

0:26:070:26:09

Why are all these patients waiting for assessment?

0:26:090:26:12

I'm on to it.

0:26:120:26:14

Danny Smith has been discharged?

0:26:140:26:16

-Yes, but...

-So discharge him and see to the patients that actually need helping.

0:26:160:26:19

MONITORS BEEP

0:26:190:26:22

How is he?

0:26:260:26:28

Not ready to be moved, if that's what you're asking.

0:26:280:26:31

Stop being defensive.

0:26:340:26:36

I've just had Elliot pretend there's no theatre space.

0:26:360:26:39

Oh, he's a lovely boy, bright as a button.

0:26:420:26:46

Well, if he keeps improving, I'll find out for myself.

0:26:460:26:48

Do you believe in God, Connie?

0:26:500:26:52

Is that relevant?

0:26:520:26:53

I'm starting to...

0:26:530:26:55

despite all evidence to the contrary, as age creeps up on me.

0:26:550:26:58

Do you think God wants this one?

0:27:000:27:03

He's been trying to take him since birth and us medics

0:27:030:27:05

keep snatching him away from his warm embrace.

0:27:050:27:08

Forcing the poor mite to suffer some more with us on earth.

0:27:090:27:12

I do wonder.

0:27:140:27:16

His mother certainly has an unusual approach.

0:27:170:27:20

Oh, she's his rock. You've never seen a child laugh more.

0:27:200:27:23

When are you going back to Boston?

0:27:250:27:27

Do you want to drive me to the airport?

0:27:270:27:29

Seriously... Why the rush to get this kid under the knife?

0:27:290:27:33

I don't want God to have him just yet.

0:27:370:27:39

GENERAL HUBBUB FROM TREATMENT AREA

0:27:390:27:42

WOMAN SCREAMS

0:27:460:27:49

SHOUTING

0:27:490:27:51

DANNY PANTS

0:27:510:27:53

That's exactly what I was saying.

0:28:020:28:04

The defence plays too deep, the midfield gets completely swamped.

0:28:040:28:07

It's heart breaking. Here, I'll show you.

0:28:070:28:10

-TELEPHONE RINGS

-Come here, boys.

0:28:100:28:12

Holby City Emergency Department.

0:28:120:28:14

Erm, sorry, I'll just put you on hold.

0:28:150:28:17

No, Charlie, not that one -

0:28:170:28:19

the head...comes off that one.

0:28:190:28:21

Sorry.

0:28:210:28:22

-When do you finish?

-Two hours yet.

0:28:250:28:28

I'll buy you a pint.

0:28:280:28:29

If you promise to let me work, yes.

0:28:290:28:31

HE SIGHS

0:28:370:28:39

Take your time, no rush.

0:28:500:28:51

We've got to talk to him, persuade him to stay.

0:28:510:28:53

Are you insane? We've got more patients coming in!

0:28:530:28:56

You haven't seen him, he's terrified of his own shadow.

0:28:560:28:58

Oh, right, come on, it's not like I've got anything better to do.

0:28:580:29:01

I know I've been slow, but I'd hate to think we just turn people away when they need...

0:29:010:29:05

..help.

0:29:060:29:07

Right, now can we get back on?

0:29:110:29:12

-Come with me.

-Why?

0:29:210:29:23

You're King Solomon.

0:29:280:29:29

Good to know.

0:29:310:29:32

We're going to see the wretched ED quack,

0:29:320:29:34

talk about the next move for Jake.

0:29:340:29:37

Jake? Jake... Jake... Jake!

0:29:370:29:40

About this high. Squeaky voice.

0:29:400:29:42

-Heart like a 90-year-old marathon runner.

-Yup, that's him.

0:29:420:29:44

You know, your "approach" is freaking people out.

0:29:460:29:49

You?

0:29:490:29:51

I'm getting there.

0:29:510:29:52

Come on.

0:29:530:29:54

HE STRAINS IN PAIN

0:30:110:30:14

HE SOBS

0:30:160:30:19

What's Boston like?

0:30:210:30:23

Oh, it's beautiful - lovely old buildings...

0:30:230:30:26

Well, old for the Americans, anyway.

0:30:260:30:28

-It's impressive.

-I bet it beats Holby.

0:30:280:30:31

I take it holidays were few and far between?

0:30:310:30:33

He got a "Make A Wish" thing before he got the valve fitted,

0:30:330:30:37

he wished for a letter from Stephen Hawking.

0:30:370:30:40

Not even to meet him! A bloody letter!

0:30:400:30:43

He asked him nonsense questions about science and stuff.

0:30:430:30:47

He could have had a holiday, Maldives...

0:30:470:30:49

Malaysia, I'd have settled for Margate.

0:30:490:30:52

Ah, sorry hang on a second.

0:30:520:30:54

What are you doing?

0:30:540:30:56

Ah, bit dizzy, skipped lunch.

0:30:560:30:58

Do you want me to get someone?

0:30:580:30:59

No. No, I'm fine. Just give me a minute.

0:30:590:31:01

Ash. Connie asked me to fetch you, there's a resus case coming in

0:31:040:31:07

-and she's tied up.

-OK, what have we got?

0:31:070:31:10

Female, early 30s, suspected alcohol poisoning.

0:31:100:31:13

Any details?

0:31:130:31:15

Erm... Not yet. Why?

0:31:150:31:17

Where was she picked up?

0:31:170:31:19

-Don't know. Is it of relevance?

-I hope not.

0:31:190:31:22

Right, we've got an unidentified female,

0:31:220:31:24

found collapsed on the street, query alcohol abuse.

0:31:240:31:26

She's got bruising and lacerations to her face and her neck.

0:31:260:31:30

Her GCS is 12, her pulse is 80, BP is 120 systolic,

0:31:300:31:34

she's got a BM of 4.

0:31:340:31:35

We found this next to her.

0:31:350:31:37

-OK.

-Thanks.

0:31:370:31:39

-OK.

-Thank you.

0:31:410:31:43

OK, darling - we're just going to move you up to another bed. OK?

0:31:430:31:47

Output's good, he's ready to move.

0:31:490:31:51

To surgery?

0:31:510:31:52

To intensive care.

0:31:540:31:55

Er, Mum here was wondering why we weren't doing anything.

0:31:550:31:58

His white cell count and CRP are elevated

0:31:580:32:01

so that's consistent with an infection.

0:32:010:32:04

So, we're done. Grab a porter, make yourself useful.

0:32:040:32:07

Andrea, he's septic.

0:32:070:32:08

The origin of which I don't know where, but I suspect it's cardiac and

0:32:080:32:12

forgive me, but I have grave concerns about him surviving the procedure.

0:32:120:32:17

What are his chances?

0:32:170:32:18

Well, he's stable now, so I am happy.

0:32:180:32:21

Do it her way.

0:32:210:32:22

The valve needs to be replaced.

0:32:220:32:24

Normally, ideally we'd wait,

0:32:240:32:26

get Jake on antibiotics then operate later.

0:32:260:32:28

But this is not normally.

0:32:280:32:30

He could be developing an aortic root abscess.

0:32:300:32:32

There is nothing specifically to indicate that.

0:32:320:32:35

There's strong grounds to proceed with surgery as soon as possible.

0:32:350:32:38

But how much more can he take right now?

0:32:380:32:40

On antibiotics, he's OK for the short term.

0:32:400:32:42

You don't know enough about Jake's case to make any assessment.

0:32:420:32:45

I know that it would buy him time.

0:32:450:32:47

Antibiotics are not a magic bullet.

0:32:470:32:49

They'll stop Jake deteriorating but they won't make him better.

0:32:490:32:52

And they come with risks.

0:32:520:32:53

There's real chance he could develop a resistance to the antibiotics

0:32:530:32:56

or an infection like C.difficile.

0:32:560:32:57

All things considered,

0:32:570:32:59

an early operation is Jake's best chance of returning to good health.

0:32:590:33:02

Otherwise, he could die.

0:33:020:33:04

That was really uncalled for. Really.

0:33:040:33:06

Can we not work together on this?

0:33:090:33:11

Then see sense and agree with me.

0:33:110:33:12

This is what YOU taught me, Andrea!

0:33:120:33:15

When to take risks and when to hold back.

0:33:150:33:17

I didn't teach you everything.

0:33:170:33:18

Well, there is something you're not telling me.

0:33:180:33:21

-About Jake?

-No. About you.

0:33:210:33:23

Oh, she's ill.

0:33:230:33:25

-What?

-I wasn't always a poorly boy's mum.

0:33:250:33:27

I worked in palliative care for years.

0:33:270:33:29

And this one, is ill, properly ill.

0:33:290:33:32

And whatever this is, between the two of you, needs sorting out

0:33:320:33:35

and THEN you make an informed, professional decision about my son.

0:33:350:33:39

Sheree is an emotional mess, take no notice of her.

0:33:480:33:51

She was "a rock" not so long ago.

0:33:520:33:54

I got dizzy. It's hormonal.

0:33:540:33:56

Robots don't have hormones.

0:33:560:33:58

Lift up your skirt.

0:33:590:34:01

Why?

0:34:020:34:04

Curiosity. I want to see just how numb that leg really is.

0:34:040:34:07

Which leg has the pins and needles?

0:34:090:34:11

Stop pretending you're a real doctor.

0:34:110:34:13

Stop pretending you're not ill.

0:34:130:34:15

SHE WINCES

0:34:210:34:22

-Satisfied?

-Numbness and vision difficulties made me worry.

0:34:230:34:28

I know damn well what you were worried about,

0:34:280:34:30

I've not spent my whole life in medicine and not read a book!

0:34:300:34:32

I'm sorry.

0:34:380:34:39

The Connie I know wouldn't apologise so much.

0:34:410:34:43

Emergency medicine has made you soft.

0:34:430:34:46

Suspecting you have MS has made you realise you're not immortal.

0:34:460:34:49

That's why you want to operate...

0:34:500:34:53

before it's too late for you, not for Jake.

0:34:530:34:57

What, I just passed your test, you moronic woman.

0:34:570:34:59

Sorry.

0:35:080:35:10

Sorry, Tess, which cubicle is Mrs Castle in?

0:35:170:35:19

Four!

0:35:190:35:21

Thank you.

0:35:210:35:22

And where did you go?

0:35:240:35:26

It hurts...

0:35:270:35:28

Make it stop hurting? Please.

0:35:290:35:31

All right, come through here.

0:35:350:35:36

I was hungry, and it hurt.

0:35:430:35:45

What did you eat?

0:35:470:35:48

Salt and vinegar crisps.

0:35:490:35:51

OK, these will work in a couple of days,

0:35:530:35:55

..I'll find you something for the pain.

0:35:560:35:58

If I booked you an appointment with somebody else...

0:36:020:36:05

they, they can help you look after yourself.

0:36:050:36:07

No.

0:36:070:36:09

No. I'm all right.

0:36:090:36:11

Really?

0:36:120:36:15

Yeah.

0:36:150:36:18

Are you with us?

0:36:240:36:26

Do you know what this is?

0:36:260:36:27

I expect a liver from a person of your age to be half that size.

0:36:300:36:34

I know...

0:36:370:36:38

I'm not telling you anything you haven't heard before.

0:36:380:36:40

If you do not stop drinking, you will die, waste of life...

0:36:400:36:44

blah, blah, blah.

0:36:440:36:45

You've had that for years, haven't you?

0:36:450:36:47

But you just carried on regardless. Yeah?

0:36:470:36:48

Yeah, well, I'm a big girl.

0:36:480:36:50

Is it suicide?

0:36:530:36:54

Buy me a drink and I'll tell you.

0:36:570:36:59

This must be oesophageal varices, let's keep her on her side.

0:37:220:37:25

Let's get another line in.

0:37:250:37:26

She's gonna need six units of blood cross matched,

0:37:260:37:29

two units O type, right now, please, plus a unit of platelets.

0:37:290:37:33

What did you think was happening?

0:37:370:37:39

You know how a patient's mind works.

0:37:410:37:44

It was jet-lag at first,

0:37:440:37:48

then when it went on too long, flu...

0:37:480:37:50

then stress, working too hard, then...

0:37:500:37:53

Denial?

0:37:550:37:56

An acknowledgement that time was running out.

0:37:560:37:59

What am I if not a doctor?

0:37:590:38:01

You are Andrea Somerton.

0:38:010:38:03

You could be an advisor,

0:38:050:38:08

a lecturer, professor?

0:38:080:38:10

This really doesn't mean the end of things, you will adapt

0:38:110:38:15

and you will cope and you will be just as strong.

0:38:150:38:19

The softer approach sits kindlier with you than it ever would with me.

0:38:190:38:24

Oh, I didn't think you approved?

0:38:240:38:25

I wanted to save Jake.

0:38:280:38:29

And you still can.

0:38:310:38:32

How?

0:38:320:38:34

By allowing us to transfer him up to ICU and handing over to Elliot Hope.

0:38:340:38:38

I guarantee his survival.

0:38:390:38:41

I have the best people.

0:38:410:38:42

Eyesight not entirely clear.

0:38:470:38:49

Oh, it's the incident report from the ambulance crew.

0:38:490:38:53

Not filling me with confidence.

0:38:530:38:54

It's OK.

0:38:540:38:55

It states that Jake was in pulseless VT and about to be shocked when

0:38:550:38:59

the accident happened, but that the paramedic said she didn't shock him.

0:38:590:39:04

-When Jake arrived, he had output.

-How?

0:39:040:39:07

Thumpversion is my guess.

0:39:070:39:09

You shouldn't just make words up.

0:39:090:39:11

A pre-cordial thump.

0:39:110:39:13

Someone fell on him?

0:39:130:39:14

Well. The jolt restarted his heart.

0:39:140:39:17

And this is an example of your best people?

0:39:180:39:21

This is an example of even when we get it wrong, we get it right.

0:39:210:39:24

-Please.

-Mate, we haven't got time to be ringing social services!

0:39:270:39:30

It's important.

0:39:300:39:31

Lofty, if you don't start treating other patients, Tess will kill you.

0:39:310:39:35

TELEPHONE RINGS 'Scuse me.

0:39:350:39:38

Hello, Holby ED.

0:39:380:39:39

Yeah, I can do that for you.

0:39:400:39:42

Charlie, I need your help.

0:39:420:39:44

Yeah. I need yours - five down, appearance, begins with a V.

0:39:440:39:49

I've got a young male patient, dental case,

0:39:490:39:51

doesn't seem equipped to look after himself.

0:39:510:39:53

Can't seem to get him to do a psych assessment.

0:39:530:39:56

I'm not working, Lofty, I'm not allowed to.

0:39:560:39:58

All right. Don't go anywhere.

0:40:000:40:01

Hey.

0:40:100:40:11

Hey.

0:40:120:40:14

Paramedic.

0:40:140:40:15

Yeah, you are, did you bump your head?

0:40:160:40:19

No, I mean you... What you did earlier, it's what we do.

0:40:190:40:24

Crack silly jokes to stop ourselves from crying.

0:40:240:40:27

I... I'm sorry, I didn't mean to.

0:40:290:40:32

No, you're close, but no cigar, I used to be a nurse.

0:40:320:40:35

And if I don't joke about it, I will start crying.

0:40:350:40:38

So it's just about the sex, then?

0:40:380:40:41

Nah! No!

0:40:410:40:42

I would... I would never in a million years have expected to have

0:40:420:40:45

landed a girlfriend like Tamzin.

0:40:450:40:47

Well, not at my age, but...

0:40:470:40:49

..and I'm desperately trying to find a better way of phrasing this,

0:40:510:40:54

while it lasts, I am really enjoying the ride.

0:40:540:40:58

You disgust me.

0:40:590:41:00

I'd expect nothing less.

0:41:020:41:03

All I'm saying is, the defences need to come down now and again, that's all.

0:41:060:41:10

Message understood.

0:41:100:41:12

Sorry - excuse me. We're ready to take him upstairs.

0:41:120:41:16

Did she get her way?

0:41:160:41:17

Not this time. No.

0:41:180:41:20

Can I see him first?

0:41:200:41:22

Yeah, of course.

0:41:220:41:23

Why can't I stay in there?

0:41:310:41:33

Because. Now, you stay here

0:41:330:41:34

until the dental hospital call you through, OK?

0:41:340:41:37

What about that big driver? What if he sees me?

0:41:370:41:40

Don't worry about him - he's back at work.

0:41:400:41:42

I'll see you soon, OK?

0:41:440:41:46

Yeah... Safe.

0:41:460:41:48

You any good at crossword puzzles?

0:41:500:41:52

I've never done them.

0:41:550:41:56

-When you get to my age, you'll have to.

-Why?

0:41:560:41:59

Keeps your mind active... stops you taking up golf.

0:41:590:42:02

Hello, Holby City.

0:42:080:42:11

Hey, kidda.

0:42:230:42:24

Looking good.

0:42:250:42:28

If you don't want to do this any more...

0:42:370:42:39

then you don't...

0:42:390:42:41

You don't worry about me or your grandma, or anyone...

0:42:410:42:45

..you just do what you need to do.

0:42:460:42:49

I don't want you to suffer any more.

0:42:490:42:51

But if you want to stay, then you fight,

0:42:550:43:00

you fight like you always have and

0:43:000:43:03

I will be here when you wake up

0:43:030:43:05

and we will laugh and laugh and laugh.

0:43:050:43:08

What is the point in not?

0:43:080:43:09

Eh?

0:43:110:43:14

SHE SOBS

0:43:140:43:16

(I love you so much.)

0:43:280:43:29

DOORBELL RINGS

0:44:200:44:22

Social services. You'll ring them?

0:44:220:44:24

-Yeah...if you think it'll help?

-I promise.

0:44:270:44:31

-I'll make sure he gets it, Danny.

-Yeah.

0:44:470:44:50

Er, the dental hospital is on your left, on the way out, OK?

0:44:550:44:58

-Yeah.

-You're seeing a Dr Khorsandi.

0:44:580:45:01

Right.

0:45:010:45:03

Cheers.

0:45:030:45:04

Thank you.

0:45:190:45:20

Thank you.

0:45:270:45:29

Nice one.

0:45:370:45:38

What are you doing?

0:45:490:45:50

Oi. What the hell do you think you're doing?

0:45:540:45:57

-I didn't do enough.

-Get out.

0:45:570:45:59

You smelled of booze this morning.

0:46:020:46:04

You lie to me again, I'll make sure you lose your job.

0:46:040:46:07

-Why are you doing this?

-Because.

0:46:070:46:10

There's another bottle under the sink.

0:46:150:46:17

Well, here's to thumpversion.

0:46:360:46:37

Oh, come on, no way, don't tell me you did that on purpose.

0:46:370:46:40

-Ah, I don't care if it was Divine intervention - got me off the hook.

-I'll drink to that.

0:46:400:46:44

Now, Miss Tamzin, er, tomorrow.

0:46:520:46:53

-Are you coming for more adventures on the high road with Captain Big Mac?

-Oh...

0:46:530:46:58

Nah, I think she's had enough adventures with Captain Mac for one week.

0:46:580:47:01

I'm gonna pick up the rudder tomorrow.

0:47:010:47:03

Nah, it's you and me again tomorrow, Dix. Yeah, it was fun.

0:47:030:47:06

Ah! So. Yo ho-ho and a bottle of rum!

0:47:070:47:10

Good luck. Good luck with that.

0:47:100:47:12

Yeah... it'd be nice to hear from you.

0:47:130:47:17

Erm, maybe we could do another holiday, that'd be nice.

0:47:170:47:20

You've been more places in the world than I have,

0:47:200:47:22

that just isn't right.

0:47:220:47:24

Anyway... I've, er...

0:47:320:47:35

I've had a bit of a day and I'm missing my son, so there we are.

0:47:350:47:40

All right, I love you, darling.

0:47:410:47:43

Give me a call when you get the chance.

0:47:430:47:46

OK, you take care. Bye for now.

0:47:460:47:49

-You don't have to.

-Shush. Just for once, hush.

0:48:100:48:13

Download Subtitles

SRT

ASS