0:00:02 > 0:00:03- You'll have to find someone else. - Not me!
0:00:03 > 0:00:06Holby City Emergency department. What can I do for you?
0:00:06 > 0:00:09- Hold up, mate. - I'm Jack, your new ring-a-ding man.
0:00:09 > 0:00:10Jess.
0:00:10 > 0:00:12Hiya, guys.
0:00:12 > 0:00:13Do you know each other?
0:00:13 > 0:00:15- I was planning on telling Ethan. - Good luck.
0:00:15 > 0:00:17Now, I've just got to find her.
0:00:17 > 0:00:19I wouldn't do it alone.
0:00:19 > 0:00:20- You offering?- Why not?
0:00:20 > 0:00:23It would be good if she was a bit more careful.
0:00:23 > 0:00:26You don't want people wondering why her file's getting so thick.
0:01:52 > 0:01:54PHONE RINGING
0:01:54 > 0:01:58If you're standing me up, could you at least let me know?
0:01:58 > 0:02:02This is number one, OK, Maddy? Numero uno.
0:02:05 > 0:02:06Oh!
0:02:07 > 0:02:09Very funny.
0:02:09 > 0:02:11- Sorry. - OK.
0:02:13 > 0:02:17Er...yeah, well, if I'd have known you were coming...
0:02:17 > 0:02:18You'd have baked me a cake?
0:02:18 > 0:02:20Well, no, I would have least got some bagels.
0:02:20 > 0:02:23Don't worry. I can work with what you've got.
0:02:23 > 0:02:25- No, it...- Sit.
0:02:25 > 0:02:26No...
0:02:26 > 0:02:27Sit.
0:02:40 > 0:02:41That for the CCG?
0:02:41 > 0:02:45Yeah, I should have finished it last night.
0:02:45 > 0:02:47Sorry for the distraction.
0:02:47 > 0:02:49You don't look very sorry.
0:02:49 > 0:02:51HE CHUCKLES
0:02:55 > 0:02:56Your shift starts soon.
0:02:56 > 0:02:59Don't worry, boss, I won't be late.
0:03:07 > 0:03:10Surprise! Merry Christmas!
0:03:10 > 0:03:12What have you done?
0:03:12 > 0:03:14Just call me Frost. Jack Frost.
0:03:14 > 0:03:15Where's your uniform?
0:03:15 > 0:03:19I spoke to management, told them we needed a makeover.
0:03:22 > 0:03:23It's pink.
0:03:23 > 0:03:26We'll be like flamingos amongst a flock of pigeons.
0:03:26 > 0:03:28Rita!
0:03:28 > 0:03:29You can thank me later.
0:03:29 > 0:03:32I've been waiting for you for the final, finishing touch.
0:03:32 > 0:03:36Everyone's a star and deserves the right to twinkle.
0:03:36 > 0:03:38What on Earth are you doing?
0:03:38 > 0:03:40So you're behind this, are you?
0:03:40 > 0:03:44I was just trying to spread a little Christmas cheer.
0:03:44 > 0:03:47Yeah, well, unfortunately, that's not all you're spreading.
0:03:48 > 0:03:50Bit early there, Santa.
0:03:51 > 0:03:53Blasphemy.
0:03:53 > 0:03:57His name's Olaf and he likes...warm hugs.
0:03:57 > 0:03:59Ah, it's beginning to look a lot like Christmas!
0:03:59 > 0:04:01Big Mac's on it.
0:04:01 > 0:04:03I like it. It's all happy and sparkly.
0:04:03 > 0:04:06Funny - that's exactly what Mrs Beauchamp said.
0:04:06 > 0:04:08Can you and Lofty get on with re-stocking cubicles for me?
0:04:08 > 0:04:11- Argh!- Come on, I asked nicely.
0:04:11 > 0:04:12OK.
0:04:12 > 0:04:15Speaking of which, the Band 6 vacancy is available online
0:04:15 > 0:04:17so you can stop pestering me now, Robyn.
0:04:20 > 0:04:22RINGING
0:04:22 > 0:04:26Maddy. This is the fifth call now. Number five!
0:04:26 > 0:04:28I'm sorry, but you know the drill.
0:04:36 > 0:04:40SHALLOW BREATHING
0:04:46 > 0:04:50BUZZING
0:05:01 > 0:05:03Come on, mate, cheer up.
0:05:03 > 0:05:09I'm trying to think pink, Noelle, but everything's lost its sparkle.
0:05:09 > 0:05:13Why don't you take it home with you, give your place a Christmas spruce?
0:05:13 > 0:05:16No point. Nobody there to appreciate it.
0:05:17 > 0:05:20Jacob. You're still feeling festive, right?
0:05:20 > 0:05:22Yeah, full of joys, me.
0:05:22 > 0:05:24Sounds like someone had a good night.
0:05:24 > 0:05:26Can't complain.
0:05:26 > 0:05:29The Clinical Commissioning Group will be here very shortly.
0:05:29 > 0:05:31Ready and waiting, Mrs Beauchamp.
0:05:31 > 0:05:33I can still see evidence of this morning's fiasco.
0:05:33 > 0:05:35Well, that's not our...
0:05:35 > 0:05:37No excuses. Sort it.
0:05:40 > 0:05:42Staff Nurse Masters.
0:05:42 > 0:05:43Boss.
0:05:47 > 0:05:49OK, come this way to be triaged.
0:05:49 > 0:05:50Rita?
0:05:50 > 0:05:52Lofty, make it quick.
0:05:52 > 0:05:53Is now not a good time?
0:05:53 > 0:05:55It's the season of hangovers and heart attacks -
0:05:55 > 0:05:57there's never going to be a good time.
0:05:57 > 0:06:00Right. It's just I was thinking about going for the job?
0:06:00 > 0:06:02Seeing as I asked you half an hour ago.
0:06:02 > 0:06:03I meant the promotion.
0:06:03 > 0:06:05I saw you talking to Robyn about it earlier on.
0:06:05 > 0:06:07Right.
0:06:07 > 0:06:12It's just I was looking for someone a bit more...assertive.
0:06:12 > 0:06:14Course. Sorry.
0:06:14 > 0:06:17The role requires a certain amount of confidence and conviction.
0:06:17 > 0:06:21- OK.- And I'm not sure you're quite there yet.
0:06:21 > 0:06:23I understand.
0:06:23 > 0:06:25I've just got to go and re-stock.
0:06:25 > 0:06:26OK.
0:06:26 > 0:06:27Nice hat, by the way.
0:06:29 > 0:06:30OK.
0:06:32 > 0:06:34Sure you don't want me to drive?
0:06:34 > 0:06:35Very funny.
0:06:35 > 0:06:38No, you're right. Best to get back in the saddle.
0:06:38 > 0:06:39Thanks for that, nugget.
0:06:39 > 0:06:41So you're still mad at me?
0:06:41 > 0:06:43I'm not mad, I'm just disappointed.
0:06:43 > 0:06:44Ouch.
0:06:44 > 0:06:46What do you expect?
0:06:46 > 0:06:48Worst day of my civilian life and you go AWOL.
0:06:48 > 0:06:51Actually, it was more missing in action.
0:06:51 > 0:06:53Nikki brought Olivia in again.
0:06:53 > 0:06:54Sprained wrist.
0:06:54 > 0:06:56And?
0:06:56 > 0:06:58That's twice in less than a month.
0:06:58 > 0:06:59So she's unlucky.
0:06:59 > 0:07:01Is she?
0:07:01 > 0:07:03Be careful, Dix.
0:07:03 > 0:07:05She's in the main building.
0:07:09 > 0:07:12What's with the GPS? Feel like I'm on a treasure hunt.
0:07:12 > 0:07:13It's Maddy Allen.
0:07:13 > 0:07:16If she hasn't answered her phone after a few goes,
0:07:16 > 0:07:17her mum sends out an alert.
0:07:17 > 0:07:20Oh, right. So we're a taxi service for hungover teenagers?
0:07:20 > 0:07:24Not exactly. It's part of a local MND support service.
0:07:24 > 0:07:29Maddy's in her 40s and she's got advanced motor neurone disease.
0:07:38 > 0:07:40Maddy?
0:07:40 > 0:07:42I could get the caretaker?
0:07:43 > 0:07:45Hang on.
0:07:45 > 0:07:47Or I could just boot it.
0:07:48 > 0:07:51Up here for thinking, down there for dancing.
0:07:52 > 0:07:54Maddy?
0:07:57 > 0:07:58Can you hear me?
0:07:58 > 0:08:01The acoustics in here are great.
0:08:01 > 0:08:03OK. Have you got any pain?
0:08:03 > 0:08:04No.
0:08:05 > 0:08:09Right, let's sit you up, help with your breathing. OK, lovely?
0:08:09 > 0:08:10Yup.
0:08:10 > 0:08:12Ready, Iain? One, two, three.
0:08:27 > 0:08:28Did you check the gents?
0:08:28 > 0:08:30I decked the stalls with boughs of holly.
0:08:30 > 0:08:32Much obliged.
0:08:32 > 0:08:35# Fa la la la la, la la la la. #
0:08:35 > 0:08:37You're not still holding a grudge, are you?
0:08:37 > 0:08:41I never hold a grudge. Once I get even, I'm over it.
0:08:41 > 0:08:43OK. Discharged?
0:08:45 > 0:08:47Kick-off's in half an hour.
0:08:47 > 0:08:50I'm just going to get some fresh air before the stuffed shirts arrive.
0:08:50 > 0:08:51Want some company?
0:08:51 > 0:08:53You've only just got here.
0:08:53 > 0:08:56There's gotta be some perks to sleeping with the boss?
0:08:56 > 0:08:58It's not a package deal, I'm afraid.
0:08:58 > 0:08:59Maddy?
0:08:59 > 0:09:03Yeah, Maddy Allen, 46, she's got motor neurone disease.
0:09:03 > 0:09:06She fell out of her wheelchair approximately three hours ago.
0:09:06 > 0:09:07Cubicles. Yeah?
0:09:07 > 0:09:10OK. There's no obvious injuries but she's short of breath.
0:09:10 > 0:09:17GCS 15, pulse 50, BP 110/60. Sats 93%, her temperature's 38.5.
0:09:17 > 0:09:20I dropped my phone.
0:09:20 > 0:09:23Right, let's get you in the warm.
0:09:23 > 0:09:27Somewhere far from the madding crowd, please, Connie.
0:09:27 > 0:09:30Don't worry, I'll look after you. Is your mum on her way?
0:09:30 > 0:09:33I'm surprised she didn't beat the ambulance.
0:09:34 > 0:09:36We're nearly there.
0:09:38 > 0:09:40Mum? It's time to wake up now.
0:09:41 > 0:09:44I can't. Mustn't sleep...
0:09:47 > 0:09:48No! Don't!
0:09:48 > 0:09:49Danny!
0:09:54 > 0:09:56Straight through to HDU, please.
0:09:56 > 0:09:59All quiet on the Western Front.
0:09:59 > 0:10:02I guess it helps having friends in high places.
0:10:02 > 0:10:04So how do you two know each other?
0:10:04 > 0:10:07Connie volunteers at the MND support group.
0:10:07 > 0:10:12Fundraiser, campaigner, brings a mean lemon drizzle.
0:10:12 > 0:10:14Ah, well, that's shop-bought, I'm afraid.
0:10:14 > 0:10:17Right, Maddy, we're going to move you onto the other bed, darling,
0:10:17 > 0:10:21OK? Here we go, nice and gently.
0:10:23 > 0:10:24Thanks, guys.
0:10:24 > 0:10:28Sorry. Mum's on a mission to fatten me up.
0:10:28 > 0:10:31A high-carbohydrate, high-calorie diet could delay
0:10:31 > 0:10:35the progression of MND - according to a phase two study.
0:10:35 > 0:10:38It's been doughnuts at dawn ever since.
0:10:39 > 0:10:42Thanks for calling the cavalry.
0:10:42 > 0:10:45Five strikes and you're out, kiddo.
0:10:45 > 0:10:47This is why you should move in with me.
0:10:47 > 0:10:50And become your lab rat? No, thank you.
0:10:50 > 0:10:53I'd like to say it was nice to see you again, Mrs B,
0:10:53 > 0:10:55but given the circumstances...
0:10:55 > 0:10:56What's the damage?
0:10:57 > 0:11:00Well, we need to confirm with a chest X-ray,
0:11:00 > 0:11:04but it looks like a chest infection, possibly pneumonia.
0:11:04 > 0:11:07That's the last thing we need. She's already struggling.
0:11:07 > 0:11:10The muscle wastage in her upper body has spread.
0:11:10 > 0:11:13Charming. I can speak for myself.
0:11:13 > 0:11:16I don't normally get a word in.
0:11:16 > 0:11:20"A bird doesn't sing because it has an answer.
0:11:20 > 0:11:26"It sings because it has a song." Maya Angelou.
0:11:26 > 0:11:29Why were you even at work? It's the holidays.
0:11:29 > 0:11:30Mum's the word.
0:11:30 > 0:11:31Meaning?
0:11:31 > 0:11:34That you'll have to wait and see.
0:11:38 > 0:11:40You OK?
0:11:40 > 0:11:42My leg hurts.
0:11:43 > 0:11:45It's bad, isn't it?
0:11:45 > 0:11:49We can't stay in here like this.
0:11:49 > 0:11:53Argh! Argh!
0:11:53 > 0:11:55Argh!
0:11:57 > 0:11:59I can't.
0:11:59 > 0:12:01Please, Mum. You have to.
0:12:01 > 0:12:04Argh!
0:12:04 > 0:12:07We don't have to go far.
0:12:07 > 0:12:10I don't like this, Danny.
0:12:10 > 0:12:12Argh!
0:12:12 > 0:12:15It's going to be OK.
0:12:16 > 0:12:18Just stick to the story.
0:12:21 > 0:12:23'Which service, please?'
0:12:23 > 0:12:25Ambulance, please.
0:12:25 > 0:12:29We'll get you started on a course of antibiotics straight away, OK?
0:12:29 > 0:12:30Wait.
0:12:30 > 0:12:31One second, mate.
0:12:31 > 0:12:33Can I ask you something?
0:12:33 > 0:12:34Course.
0:12:34 > 0:12:39Which is better - "Do you want to take me for a test run?"
0:12:39 > 0:12:44or "Do you want to burn some rubber?" Don't laugh.
0:12:44 > 0:12:48I've been practising those all morning.
0:12:48 > 0:12:51Oh! So you've found someone?
0:12:51 > 0:12:56Not exactly. But a girl's got to plan ahead.
0:12:56 > 0:12:59Very true, very true.
0:12:59 > 0:13:01You OK, Maddy?
0:13:01 > 0:13:04I feel...strange.
0:13:04 > 0:13:05Strange how?
0:13:05 > 0:13:07SHE PANTS
0:13:07 > 0:13:09Help me, Jacob.
0:13:09 > 0:13:12I need you to help me.
0:13:12 > 0:13:15OK, OK. Let's get her through, quickly, please.
0:13:17 > 0:13:18Well?
0:13:18 > 0:13:20We've confirmed the pneumonia.
0:13:20 > 0:13:23What's going on? Why's she like that?
0:13:23 > 0:13:27The infection is making it hard for Maddy to move air.
0:13:27 > 0:13:29Resp rate's up to 30.
0:13:29 > 0:13:31We should discuss Maddy with ITU -
0:13:31 > 0:13:33she may need further help with her breathing.
0:13:33 > 0:13:36- You want to ventilate her? - Maddy has an ADRT.
0:13:36 > 0:13:40Let's give her high-flow oxygen. That might be enough.
0:13:40 > 0:13:42And if it's not?
0:13:43 > 0:13:45We both know Maddy's wishes.
0:13:45 > 0:13:48If she can't swallow, we won't feed her.
0:13:48 > 0:13:51If she can't breathe, we won't make her breathe.
0:13:53 > 0:13:56Right, I'm going to cancel this presentation.
0:13:56 > 0:13:59No. She wouldn't want any fuss.
0:14:02 > 0:14:04Sit with her, OK?
0:14:04 > 0:14:05Talk to her.
0:14:05 > 0:14:06Yeah.
0:14:06 > 0:14:08I'll be back as soon as I can.
0:14:11 > 0:14:13- Connie.- Oh!
0:14:13 > 0:14:15If she continues to deteriorate?
0:14:15 > 0:14:16Her living will clearly states
0:14:16 > 0:14:19that she doesn't want invasive ventilation, OK?
0:14:19 > 0:14:21- But...- No buts, Staff Nurse Masters.
0:14:21 > 0:14:24An advanced directive is legally binding, OK?
0:14:30 > 0:14:33I'm just saying a sprained wrist is a potential sign of abuse.
0:14:33 > 0:14:35That's one of 100 possibilities.
0:14:35 > 0:14:37Well, she came in last year with a broken arm.
0:14:37 > 0:14:40- Jess tell you that?- Not exactly.
0:14:40 > 0:14:41Dixie?
0:14:41 > 0:14:45Well, I might have glanced at Olivia's medical records.
0:14:45 > 0:14:47- Oh, what?!- I'm telling you, something's not right.
0:14:47 > 0:14:50Right, well, if you've gone that far and stooped that low
0:14:50 > 0:14:52and got nothing concrete, then you've got your answer.
0:14:52 > 0:14:58You're right. I know you're right. I've just got this feeling.
0:14:59 > 0:15:01Just forget about it.
0:15:01 > 0:15:03It's my mum - she's broken her leg.
0:15:03 > 0:15:05You don't look too smart yourself, mate.
0:15:05 > 0:15:09I'm fine. Please, she needs your help.
0:15:09 > 0:15:12Well, maybe you shouldn't move if you think you've broken a bone.
0:15:12 > 0:15:14We thought the car might catch fire.
0:15:14 > 0:15:16You've been watching too many Fast and Furious movies.
0:15:16 > 0:15:18So where were you heading?
0:15:18 > 0:15:22Cleaning job. Danny helps me.
0:15:22 > 0:15:24The road was icy.
0:15:24 > 0:15:26Have you had a drink, love?
0:15:28 > 0:15:30Just a couple last night.
0:15:30 > 0:15:32- POLICE SIRENS WAIL - Christmas party.
0:15:32 > 0:15:36You need to give your system enough time to process the alcohol.
0:15:36 > 0:15:37You could be over the limit.
0:15:37 > 0:15:39I wasn't thinking.
0:15:39 > 0:15:43I was up early for work, you know.
0:15:43 > 0:15:44POLICE RADIO CHATTER
0:15:44 > 0:15:46Right, we're going to be five minutes, guys.
0:15:46 > 0:15:49We'll see you back at the ranch, OK?
0:15:49 > 0:15:50Thank you.
0:16:02 > 0:16:04What are you doing?
0:16:04 > 0:16:09The ABG shows worsening hypoxia. Her oxygen levels are decreasing.
0:16:09 > 0:16:11You might want to reconsider.
0:16:11 > 0:16:13Reconsider?
0:16:13 > 0:16:14You have power of attorney.
0:16:14 > 0:16:15Yes, but...
0:16:15 > 0:16:17You've done your research,
0:16:17 > 0:16:20so you know ventilation gives Maddy the best prognosis.
0:16:21 > 0:16:25You think this is what I want?
0:16:25 > 0:16:27She's my only child.
0:16:27 > 0:16:29I've already lost her father.
0:16:29 > 0:16:31This infection is just a temporary setback.
0:16:31 > 0:16:34Her breathing muscles have already weakened.
0:16:34 > 0:16:38She'll be dependent on a machine to breathe, a machine to communicate.
0:16:38 > 0:16:39It's not what she wants.
0:16:46 > 0:16:49Just before she lost consciousness...
0:16:50 > 0:16:52..Maddy asked for my help.
0:16:52 > 0:16:54What?
0:16:54 > 0:16:57Look, she was looking forward, to the future.
0:16:57 > 0:16:59I think she'd changed her mind about treatment.
0:16:59 > 0:17:01You think?
0:17:01 > 0:17:03Why would she talk to you?
0:17:03 > 0:17:05I was there.
0:17:05 > 0:17:06I've been there her whole life.
0:17:06 > 0:17:09Of course. I didn't mean to...
0:17:09 > 0:17:15Maddy's a teacher, a great one - it's what she dedicated her life to.
0:17:15 > 0:17:18The kids are finding it harder to understand her now
0:17:18 > 0:17:19and that's been...
0:17:19 > 0:17:21devastating.
0:17:21 > 0:17:25She made me promise she'd never lose her voice.
0:17:29 > 0:17:32She's always been independent.
0:17:32 > 0:17:33Fiercely so.
0:17:35 > 0:17:37I won't let you silence her.
0:17:37 > 0:17:39PHONE RINGS
0:17:39 > 0:17:42It's her solicitor. If you'll excuse me.
0:17:48 > 0:17:50Arial or Times New Roman?
0:17:50 > 0:17:53I thought you were more of a Wingdings girl.
0:17:53 > 0:17:56I can't just Wingding this, Louise. I really want this job.
0:17:56 > 0:18:00Garamond. It's simple, elegant. Put your best font forward.
0:18:00 > 0:18:03Oh, Charlie, have you got anything juicy for us today?
0:18:03 > 0:18:05You're a bit keen!
0:18:05 > 0:18:07Just showing my strong clinical leadership
0:18:07 > 0:18:09and my communication skills, as per usual.
0:18:09 > 0:18:11The job's online, then?
0:18:11 > 0:18:12I don't know what you're talking about.
0:18:12 > 0:18:16All right, come on, I'll see what I can find you.
0:18:16 > 0:18:18- Charlie.- Yeah.
0:18:18 > 0:18:20Any luck with your contact at the adoption agency?
0:18:20 > 0:18:23Still nothing, I'm afraid. Do you want me to step it up a bit?
0:18:23 > 0:18:25Yeah, if you could. Thank you.
0:18:25 > 0:18:28I think Ethan knows something's going on.
0:18:28 > 0:18:31- If I could find my mum, get some answers...- Right, leave it with me.
0:18:31 > 0:18:33Great.
0:18:33 > 0:18:35OK, you're on.
0:18:35 > 0:18:37- Yes!- Yes!
0:18:37 > 0:18:41Right, this is Joanne Holland, 39, driver involved in an RTC.
0:18:41 > 0:18:43Car versus wheelie bin.
0:18:43 > 0:18:45She's got a compound fracture of her left tib fib.
0:18:45 > 0:18:49Not KO'd at the scene and neck was cleared.
0:18:49 > 0:18:50All obs are fine.
0:18:50 > 0:18:54I've given her ten of morphine and there's a strong smell of alcohol.
0:18:54 > 0:18:57Hang on a minute, mate, you're going to cubicles, this way.
0:19:01 > 0:19:03Are you sure there's nobody I can call for you?
0:19:03 > 0:19:05It's just me and Danny.
0:19:05 > 0:19:07Right, have you got any allergies?
0:19:07 > 0:19:10OK. Can we get 1.2g co-amoxiclav IV?
0:19:10 > 0:19:13How about tetanus - are you up-to-date on that?
0:19:13 > 0:19:15- I don't think so. - Let's get a booster as well.
0:19:17 > 0:19:19It was a Christmas party.
0:19:20 > 0:19:25All right. FBC, U and Es, group and save and a coag.
0:19:25 > 0:19:29She's slightly tachycardic so let's do a full trauma series,
0:19:29 > 0:19:30find out what's at play.
0:19:30 > 0:19:32I just had one or two.
0:19:36 > 0:19:38She must be well over the limit.
0:19:38 > 0:19:40We get that a lot this time of year.
0:19:40 > 0:19:42- So what next? - If she's got no convictions,
0:19:42 > 0:19:44she'll get a ban and a fine.
0:19:44 > 0:19:47She was driving drunk with a kid in the car.
0:19:47 > 0:19:50We treat and street, leave the rest to the police.
0:19:57 > 0:20:00That's right, take it easy. I've got plans for you later.
0:20:00 > 0:20:04Oh, yeah? My mother warned me about girls like you.
0:20:04 > 0:20:06I doubt her imagination was this good.
0:20:06 > 0:20:08You ready, mate?
0:20:08 > 0:20:09Yeah.
0:20:19 > 0:20:21WHEEZING
0:20:21 > 0:20:22Maddy?
0:20:23 > 0:20:25I need some help in here.
0:20:27 > 0:20:28MND patient with pneumonia.
0:20:28 > 0:20:31Her BP dropped suddenly with oropharyngeal oedema.
0:20:31 > 0:20:34OK, this looks like anaphylaxis. Has she been started on antibiotics?
0:20:34 > 0:20:37Clarithromycin and amoxicillin IV.
0:20:37 > 0:20:40Can I get 0.5 mils of 1 in 1,000 adrenaline IM,
0:20:40 > 0:20:45200mg hydrocortisone IV and 10mg chlorphenamine IV, please?
0:20:45 > 0:20:49And can we get ketamine and Atracurium on standby, please?
0:20:49 > 0:20:51SATS are dropping, Ethan.
0:20:51 > 0:20:53OK, let's fast bleep anaesthetics.
0:20:54 > 0:20:57OK, we are losing her airway.
0:20:57 > 0:21:00We need to intubate. We are going to pre-oxygenate now.
0:21:02 > 0:21:04Cricoid on, please.
0:21:04 > 0:21:06Drugs can go in. Thanks.
0:21:10 > 0:21:12OK.
0:21:15 > 0:21:20Her airway's occluded. I am going to try size 6, please.
0:21:20 > 0:21:23What's happened? What are you doing now?
0:21:23 > 0:21:26Maddy's had an allergic reaction to the antibiotics.
0:21:26 > 0:21:27She needs an emergency airway.
0:21:27 > 0:21:29What about the advanced directive?
0:21:29 > 0:21:31Excuse me?
0:21:31 > 0:21:35- Can you carry on bagging, please? - OK.
0:21:35 > 0:21:37Er...sorry, we weren't aware...
0:21:37 > 0:21:38He knew.
0:21:38 > 0:21:40This is an acute reaction.
0:21:40 > 0:21:42Once she's intubated and the swelling has gone down...
0:21:42 > 0:21:45No! You know she doesn't want that.
0:21:45 > 0:21:49Maddy is my patient. I have to fight for what I think is right.
0:21:49 > 0:21:52I want to speak to Connie Beauchamp. Now!
0:21:53 > 0:21:55You know you should never get in the car
0:21:55 > 0:21:57- with someone who's been drinking. - I know.
0:21:57 > 0:21:59Has this ever happened before?
0:21:59 > 0:22:01Course not.
0:22:01 > 0:22:05Right. I just need to review your neck, OK?
0:22:06 > 0:22:09Did you know there's a stethoscope that means
0:22:09 > 0:22:12you can hear the heartbeats of astronauts when they're in space?
0:22:12 > 0:22:13Yeah.
0:22:13 > 0:22:16Can I just...? Clunk, click, every trip, eh?
0:22:16 > 0:22:18Do you mind taking your top off?
0:22:20 > 0:22:23I was sitting in the back.
0:22:24 > 0:22:26Right, thing is,
0:22:26 > 0:22:29that kind of bruising looks like it's from a steering wheel, so...
0:22:31 > 0:22:35Mum had this Christmas party last night.
0:22:35 > 0:22:37I thought it'd be safer.
0:22:37 > 0:22:40Safer? You must be a pretty good driver, then?
0:22:40 > 0:22:44- Is this the first time you've crashed?- Course.
0:22:44 > 0:22:45So you've done this before?
0:22:45 > 0:22:47It's no big deal.
0:22:47 > 0:22:50Then you won't mind telling the police what you told me, will you?
0:22:50 > 0:22:54Whatever. Can I see my mum now?
0:22:55 > 0:22:59And the options put forward by the NHS
0:22:59 > 0:23:02to address the exceptional pressure my, and other emergency departments,
0:23:02 > 0:23:06are under are woefully inadequate.
0:23:06 > 0:23:08Excuse me, Mrs Beauchamp.
0:23:08 > 0:23:11I'm afraid there's a bit of an emergency downstairs.
0:23:11 > 0:23:15I would've thought the team would have been used to that by now.
0:23:15 > 0:23:17Thank you.
0:23:18 > 0:23:19Right, well, sorry about that.
0:23:19 > 0:23:22Perhaps we should take an early tea break.
0:23:22 > 0:23:23I'll be back as soon as I can.
0:23:26 > 0:23:28She's on her way.
0:23:28 > 0:23:29Thanks.
0:23:29 > 0:23:31If looks could kill, she'd be an Uzi.
0:23:35 > 0:23:37This had better be important.
0:23:37 > 0:23:40Maddy had an allergic reaction to the antibiotics.
0:23:40 > 0:23:42- OK.- She needs to be ventilated.
0:23:42 > 0:23:44I'm afraid that's not your call.
0:23:44 > 0:23:48Look, Maddy asked me to help her before she lost consciousness.
0:23:48 > 0:23:51- Help her what?- Live.
0:23:51 > 0:23:53She said that?
0:23:53 > 0:23:54That's what she meant.
0:23:54 > 0:23:55Oh!
0:23:58 > 0:24:00Look, patients can overturn advanced directives.
0:24:00 > 0:24:03If they're competent enough to make that decision, yes.
0:24:03 > 0:24:05MND doesn't affect the mind.
0:24:05 > 0:24:07What about altered state, pain medication?
0:24:07 > 0:24:09No, no, no, no - she was conscious and alert.
0:24:09 > 0:24:12She looked me in the eye and asked me to help her.
0:24:12 > 0:24:14- Does Rosie know all this?- Yeah.
0:24:14 > 0:24:15Then it's out of your hands.
0:24:15 > 0:24:18- No. - Yes. I've had experience with MND.
0:24:18 > 0:24:21It can make a patient feel trapped, desperate.
0:24:21 > 0:24:23You have interpreted her words one way.
0:24:23 > 0:24:26What if she meant the other? What if she meant help her die?
0:24:26 > 0:24:29You're off this case, with immediate effect.
0:24:29 > 0:24:31- That's not your decision. - I will clear it with Rita.
0:24:37 > 0:24:41Jack, tell Sister Freeman I'm taking my break.
0:24:50 > 0:24:51Right, Joanne.
0:24:51 > 0:24:53I've liaised with orthopaedics
0:24:53 > 0:24:55and you're on the trauma list for theatre, OK?
0:24:55 > 0:24:57I need an operation?
0:24:57 > 0:25:00They'll need to stabilise the bone, prevent further tissue damage.
0:25:00 > 0:25:01Please. I can't.
0:25:01 > 0:25:04Well, you can discuss any further concerns with the surgeons.
0:25:04 > 0:25:06No, you don't understand. I can't.
0:25:06 > 0:25:08Mum? What's wrong?
0:25:08 > 0:25:11They want to put me to sleep.
0:25:11 > 0:25:13Lofty, now is not a good time.
0:25:13 > 0:25:16- I've got an update on the accident. - I need something, Danny.- No, Mum.
0:25:16 > 0:25:18Please. Make it go away. Make it stop.
0:25:18 > 0:25:21- She's becoming more tachycardic. - Yeah.
0:25:21 > 0:25:24I hate this. I don't want this.
0:25:24 > 0:25:26- I'm no good.- Lofty, can you...?
0:25:26 > 0:25:28Eight months old and he slept right through.
0:25:28 > 0:25:30Please, don't...
0:25:30 > 0:25:33Wake him up, Danny. Danny, don't let your brother sleep.
0:25:33 > 0:25:36Has the brother been admitted?
0:25:36 > 0:25:37No, she said it was just her and Danny.
0:25:37 > 0:25:39I put him down to sleep and he never woke up.
0:25:39 > 0:25:41Danny, we need to let the doctor look after your mum.
0:25:41 > 0:25:43Why? What's wrong with her?
0:25:43 > 0:25:46- She may have another injury from the accident.- It's not your fault.
0:25:47 > 0:25:50I can't sleep. I won't.
0:25:52 > 0:25:56Oh, my days! Noelle? Somebody?
0:25:56 > 0:25:58Anybody? I can't look.
0:25:58 > 0:26:00It's all right, they know what they're doing.
0:26:00 > 0:26:02Can I have a chair, please?
0:26:02 > 0:26:03Do we know who this is?
0:26:03 > 0:26:05Daniel Holland.
0:26:05 > 0:26:06I was on my way to see him.
0:26:06 > 0:26:09Let's get him to small resus, please.
0:26:09 > 0:26:10Nice and easy, there we go, sir.
0:26:14 > 0:26:16Peace offering.
0:26:16 > 0:26:18You'll have to try harder than that.
0:26:19 > 0:26:22Well, in that case...
0:26:22 > 0:26:23Better.
0:26:23 > 0:26:26Now this doughnut represents a circle of trust,
0:26:26 > 0:26:27OUR circle of trust.
0:26:27 > 0:26:31We're a team and we should stick together.
0:26:31 > 0:26:33Right. Didn't you get one?
0:26:33 > 0:26:36There's no "I" in team.
0:26:36 > 0:26:38I didn't know we were expecting company.
0:26:38 > 0:26:39I've got a question about Maddy Allen.
0:26:39 > 0:26:40Go on.
0:26:40 > 0:26:43Do you know what she was doing at the school?
0:26:43 > 0:26:44Not exactly.
0:26:44 > 0:26:47There was a laptop and some of them call-centre earphones.
0:26:47 > 0:26:50- And she said something about acoustics.- Yeah.
0:26:50 > 0:26:52Did the computer come in with her?
0:26:52 > 0:26:53She insisted.
0:26:53 > 0:26:54I left it at reception.
0:26:56 > 0:26:58What's going on, Jacob?
0:26:58 > 0:27:00I'm speaking up for someone who can't.
0:27:05 > 0:27:06- What are you doing? - Doing what he said.
0:27:06 > 0:27:08- What do you mean? - I'm going to go and see Jess.
0:27:08 > 0:27:10- No, you can't!- Watch me.
0:27:13 > 0:27:15OK, let's have a look.
0:27:19 > 0:27:20How's she doing?
0:27:22 > 0:27:26She's still having trouble breathing on her own.
0:27:26 > 0:27:28I have to ask this.
0:27:28 > 0:27:31You do understand what will happen if this continues?
0:27:36 > 0:27:39It was hard to talk about.
0:27:39 > 0:27:40But we did.
0:27:41 > 0:27:43So that this wouldn't happen.
0:27:43 > 0:27:47So I wouldn't question whether I was doing the right thing.
0:27:47 > 0:27:50Staff Nurse Masters is no longer on the case.
0:27:50 > 0:27:52Thank you.
0:27:52 > 0:27:56There's no cure, no real treatment, nothing.
0:27:57 > 0:28:03This is the one thing she asked for, the one promise I made her.
0:28:05 > 0:28:08A collection of fluid in the upper left quadrant,
0:28:08 > 0:28:10that's probably bleeding from the spleen.
0:28:10 > 0:28:12BP's dropped to 88/63.
0:28:12 > 0:28:14OK, he's gone into shock.
0:28:14 > 0:28:17Let's activate the major haemorrhage protocol, then, please.
0:28:17 > 0:28:20Can we get another line in and run two units of O-neg
0:28:20 > 0:28:21through the rapid infuser?
0:28:21 > 0:28:25Somebody let the mother know. We'll need consent for surgery.
0:28:25 > 0:28:28Stand by with the tranexamic acid.
0:28:28 > 0:28:31Where's Danny? Where is he?
0:28:35 > 0:28:39Let's speed up these fluids and keep an eye on the pressure.
0:28:39 > 0:28:41What's wrong with the son?
0:28:41 > 0:28:43Query ruptured spleen. Turns out he was driving the car.
0:28:43 > 0:28:45- What?- So she's an habitual drinker?
0:28:45 > 0:28:48I would say so. Is this because of the crash?
0:28:48 > 0:28:51No, given the history, it's likely oesophageal varices.
0:28:51 > 0:28:52SHE RETCHES
0:28:52 > 0:28:54Can I get suction, please?
0:28:57 > 0:28:59She's going to keep haemorrhaging.
0:28:59 > 0:29:02Can we phone haematology and let them know
0:29:02 > 0:29:04we have a likely variceal bleed in resus, please?
0:29:04 > 0:29:08Activate the major haemorrhage protocol and give 2g terlipressin.
0:29:08 > 0:29:10Can we contact the gastroenterology team
0:29:10 > 0:29:13and anaesthetist to prep for endoscopy?
0:29:13 > 0:29:14Where's the rapid infuser?
0:29:14 > 0:29:15It's with Danny next door.
0:29:15 > 0:29:18- Can you go and get it, please? - Isn't there another one?
0:29:18 > 0:29:19No, I'm afraid there isn't.
0:29:19 > 0:29:22Well, that's stupid, this is a major trauma centre.
0:29:22 > 0:29:24They're £18,000. Louise.
0:29:24 > 0:29:26Lofty, Lofty.
0:29:26 > 0:29:27He's in shock.
0:29:27 > 0:29:29This case takes priority.
0:29:40 > 0:29:42Hiya, Dixie.
0:29:42 > 0:29:43Is this a bad time?
0:29:43 > 0:29:46Nah, I'll just file this under B for boring.
0:29:46 > 0:29:47Not enjoying your desk job?
0:29:47 > 0:29:50Keep pressing escape but I'm still here.
0:29:50 > 0:29:51I'm sorry if you think...
0:29:51 > 0:29:54You were right to say something, so if that's why you're here...
0:29:54 > 0:29:55It's not.
0:29:55 > 0:29:56Right.
0:29:56 > 0:29:59Is there somewhere we can chat?
0:30:00 > 0:30:02Yeah.
0:30:06 > 0:30:08Are we nearly ready to go?
0:30:08 > 0:30:11I'll just push through this unit then the mother can have it, OK?
0:30:11 > 0:30:14No. Take it. It's my fault she's ill.
0:30:14 > 0:30:16Your mum's sick because of the drinking,
0:30:16 > 0:30:18it's nothing to do with the crash.
0:30:18 > 0:30:21I let her drink. I want her to.
0:30:21 > 0:30:23Stop it! I know you want her to get better.
0:30:23 > 0:30:25I look after her.
0:30:25 > 0:30:27Whoa!
0:30:27 > 0:30:30OK, take the machine through to resus.
0:30:30 > 0:30:32We'll have to hook him back up with a pressure bag.
0:30:32 > 0:30:34No. Please. No. No.
0:30:34 > 0:30:38What if your mum loses you too? Who's going to look after her then?
0:30:38 > 0:30:40Let us look after you both. Trust me, Danny.
0:30:48 > 0:30:51She's going into haemorrhagic shock.
0:30:58 > 0:31:00Thank you.
0:31:00 > 0:31:01Want one?
0:31:01 > 0:31:03No, thanks.
0:31:04 > 0:31:07So what's this about, Dixie?
0:31:10 > 0:31:12I saw Olivia again.
0:31:12 > 0:31:14Did she tell you?
0:31:14 > 0:31:16Yeah. We've kind of been in the wars recently.
0:31:17 > 0:31:20Does that happen a lot?
0:31:20 > 0:31:22It's the first hole I've fallen down.
0:31:22 > 0:31:23To Olivia, I meant.
0:31:23 > 0:31:25She slipped on ice.
0:31:26 > 0:31:29Whilst Nikki was looking after her?
0:31:30 > 0:31:32What are you saying?
0:31:32 > 0:31:35That I'm here if...
0:31:35 > 0:31:36if you want to talk.
0:31:39 > 0:31:42Olivia means everything to me.
0:31:42 > 0:31:45Do you really think I'd let something happen to her?
0:31:47 > 0:31:49I've been polite. I've listened.
0:31:49 > 0:31:52I've explained and now I'd like you to leave.
0:31:53 > 0:31:54Jess, please...
0:31:57 > 0:31:58SHE SIGHS
0:32:06 > 0:32:08- Do you want to take over again? - Yeah.
0:32:09 > 0:32:11Jacob?
0:32:11 > 0:32:13I just want to have a quick word with Rosie.
0:32:13 > 0:32:15I don't think that's a good idea.
0:32:15 > 0:32:18Why won't you leave us in peace?
0:32:18 > 0:32:19I am very sorry,
0:32:19 > 0:32:22but there is something you need to know about your daughter.
0:32:22 > 0:32:26Because you're such an expert? You've known her five minutes.
0:32:26 > 0:32:28Please. Just listen.
0:32:28 > 0:32:30There's really nothing you can say.
0:32:32 > 0:32:35Then I'll let Maddy do the talking.
0:32:37 > 0:32:43- MADDY:- 'Hello, how are you? What's new?
0:32:43 > 0:32:47'Thank you for coming to visit.'
0:32:47 > 0:32:51It's called voice banking - recording your natural voice
0:32:51 > 0:32:53to create a personalised, synthetic one.
0:32:53 > 0:32:54I've read about it.
0:32:54 > 0:32:57Maddy was programming her voice for a speech-generating device.
0:32:57 > 0:33:00'Do you want to take me for a test run?
0:33:00 > 0:33:03'Do you want to burn some rubber?'
0:33:03 > 0:33:08There's an option to record personal phrases so it sounds more authentic.
0:33:08 > 0:33:13'Surprise! This is for you, Mum.
0:33:13 > 0:33:14'Merry Christmas.'
0:33:14 > 0:33:16This is why Maddy was at the school.
0:33:16 > 0:33:20You see, you need a quiet room, with good acoustics.
0:33:20 > 0:33:22This was her Christmas present to you.
0:33:22 > 0:33:24Sats are dropping.
0:33:24 > 0:33:27Now that you know Maddy was making preparations to lose her voice...
0:33:27 > 0:33:30- I can't...- She's becoming synotic. - Do you want me to take over?
0:33:30 > 0:33:32- Yeah.- What are you frightened of?
0:33:32 > 0:33:36That she'll be trapped. That she'll be angry with me.
0:33:36 > 0:33:40That I'll be doing the wrong thing.
0:33:40 > 0:33:44Do you remember how Maddy felt about her wheelchair to start with?
0:33:46 > 0:33:48She hated it, with a passion.
0:33:48 > 0:33:51Expectations change over time.
0:33:51 > 0:33:54What people can cope with changes over time.
0:33:54 > 0:33:57She asked for my help, Rosie.
0:33:57 > 0:33:59- She's in respiratory arrest.- OK.
0:34:01 > 0:34:04Do what you have to do. Save her.
0:34:04 > 0:34:06Yeah, OK. Let's get her through to resus.
0:34:10 > 0:34:12Back so soon?
0:34:12 > 0:34:15I wrapped it up quickly - the place seems to fall apart without me.
0:34:15 > 0:34:18Is that a fact? So how's tricks?
0:34:18 > 0:34:19What?
0:34:19 > 0:34:22The rocky road to romance, cupid's little arrow.
0:34:22 > 0:34:23Staff Nurse Masters?
0:34:23 > 0:34:24I'll wait here.
0:34:26 > 0:34:27What are you doing?
0:34:29 > 0:34:31Guess that answers that.
0:34:31 > 0:34:34I'm going to start with a size 6. Let's repeat the adrenaline, please.
0:34:34 > 0:34:35What are you doing?
0:34:35 > 0:34:37We're intubating her.
0:34:37 > 0:34:41Keeping someone alive against their wishes is the ultimate indignity.
0:34:41 > 0:34:43Rosie gave consent.
0:34:43 > 0:34:45OK, bougie, please.
0:34:45 > 0:34:47You mean you coerced her?
0:34:47 > 0:34:49Are you serious?
0:34:49 > 0:34:52You are depriving her daughter of her dying wish.
0:34:52 > 0:34:54Not to mention leaving us open to a law suit.
0:34:54 > 0:34:56Do you know, you could have a little more faith.
0:34:56 > 0:34:59I'm sorry if my professionalism disappoints you.
0:34:59 > 0:35:01- 75%. - I thought you'd be on my side.
0:35:01 > 0:35:03Right, let's get this clear -
0:35:03 > 0:35:07sleeping with me does not give you privileges in the ED.
0:35:10 > 0:35:12OK, this is not going to go through.
0:35:12 > 0:35:16Right, do you have a Plan B, Dr Hardy. No?
0:35:16 > 0:35:18Right, let's dispense with the ET.
0:35:18 > 0:35:21Let's go for a definitive surgical airway.
0:35:21 > 0:35:23Can I have the cric set, please?
0:35:25 > 0:35:26Scalpel.
0:35:32 > 0:35:34OK, forceps.
0:35:37 > 0:35:39Get the tube.
0:35:42 > 0:35:43OK.
0:35:49 > 0:35:51Check airways, please.
0:35:55 > 0:35:56Good air entry.
0:35:58 > 0:36:00- Bilateral.- OK.
0:36:00 > 0:36:03I'm going to go see the mother.
0:36:14 > 0:36:16How are you feeling?
0:36:16 > 0:36:18OK. How's mum?
0:36:18 > 0:36:21She's doing well. You can go and see her tomorrow.
0:36:21 > 0:36:28I just wanted her to sleep, but she kept needing more and more.
0:36:29 > 0:36:31I messed up, eh?
0:36:31 > 0:36:35You could talk to her about how her drinking makes you feel.
0:36:35 > 0:36:37What's the point?
0:36:37 > 0:36:40Sometimes people who drink need to know how it affects other people.
0:36:40 > 0:36:43Hearing the truth might help her stop.
0:36:43 > 0:36:46I don't want to upset her, make her sad.
0:36:46 > 0:36:48That's part of the grieving process.
0:36:48 > 0:36:52It's hard but sometimes it's better to hear what's inside outside.
0:36:52 > 0:36:54That's what a stethoscope's for.
0:36:54 > 0:36:57Are you in love with your stethoscope or something?
0:36:57 > 0:36:59Come on, it's pretty cool.
0:36:59 > 0:37:01So will you talk to her?
0:37:03 > 0:37:05I dunno.
0:37:05 > 0:37:07It's kind of embarrassing.
0:37:07 > 0:37:10You could write it down? Or I could?
0:37:12 > 0:37:14I've got a pen and paper here.
0:37:14 > 0:37:17Shouldn't I wait until she's better?
0:37:17 > 0:37:19This is to make her better, remember?
0:37:22 > 0:37:24Hi, Mum.
0:37:26 > 0:37:33Lofty said to tell you how I feel about your drinking.
0:37:33 > 0:37:39"I'm not doing this to be mean. I just want you to stop.
0:37:39 > 0:37:43"I get embarrassed when you drink. You get sick and fall over.
0:37:43 > 0:37:46"Today, I had to put you in the bath and dress you.
0:37:46 > 0:37:49"I don't like doing stuff like that.
0:37:49 > 0:37:53"You've told me that you'll stop lots of times, but you forget.
0:37:53 > 0:37:57"You shout and smash things up and then you forget.
0:37:58 > 0:38:01"You say it's my fault that Freddie didn't wake up.
0:38:02 > 0:38:04"That you wish you hadn't had me.
0:38:11 > 0:38:15"I know that you're sad, but I'm sad too.
0:38:15 > 0:38:19"Please don't be angry. I just want you to get better."
0:38:24 > 0:38:26Cal?
0:38:26 > 0:38:27Yeah?
0:38:27 > 0:38:31Have you by any chance ever had a look at your birth certificate?
0:38:31 > 0:38:33No. Why?
0:38:33 > 0:38:36Nothing's showing up in this borough.
0:38:36 > 0:38:37We may need to widen the search.
0:38:37 > 0:38:40Wow. OK.
0:38:40 > 0:38:42You having second thoughts?
0:38:42 > 0:38:45No, I'm ready. I'm ready to meet my maker.
0:38:48 > 0:38:52They really need to invest in another one of those infuser thingies.
0:38:52 > 0:38:55OMG. Snaps for Noel. That's a great idea. Let's do it!
0:38:55 > 0:38:57You do realise they cost 18 grand?
0:38:57 > 0:39:01- How much?- We could do like a sponsored Santa sprint.
0:39:01 > 0:39:03Finally!
0:39:03 > 0:39:06Something Christmas-alicious after Big Bad Mac pulled the plug.
0:39:06 > 0:39:08- You really need to let that go, mate. - Oh, I will.
0:39:08 > 0:39:11I'll get something up on the notice board ASAP.
0:39:11 > 0:39:12Did you not hear me when I said 18 grand?
0:39:12 > 0:39:15You've got to be in it to win it, Louise.
0:39:29 > 0:39:30Everything OK?
0:39:32 > 0:39:34Depends what you mean by OK.
0:39:36 > 0:39:38We're surviving.
0:39:38 > 0:39:40I just hope I did the right thing.
0:39:44 > 0:39:46Maddy.
0:39:47 > 0:39:52Darling, it's me, mum.
0:39:53 > 0:39:55You're in hospital.
0:39:57 > 0:39:58I'm sorry.
0:40:01 > 0:40:03Forgive me, darling.
0:40:03 > 0:40:04Please forgive me.
0:40:22 > 0:40:25Your staff nurse, Jacob.
0:40:25 > 0:40:27Can you thank him for me?
0:40:42 > 0:40:44Any news on the Hollands?
0:40:44 > 0:40:46Joanne's agreed to a rehab programme
0:40:46 > 0:40:49and she's talking to the police now about changing his statement.
0:40:49 > 0:40:53Excellent. I was very impressed with your performance in resus,
0:40:53 > 0:40:55very commanding.
0:40:55 > 0:40:57You'll be applying for the promotion?
0:40:57 > 0:40:59I'm not so sure.
0:40:59 > 0:41:02Well, be sure. In life, you have to give 100%.
0:41:02 > 0:41:06Unless you're a blood donor, of course. Which you should be.
0:41:06 > 0:41:10Blood owners should be blood donors.
0:41:10 > 0:41:12I'll leave you with that.
0:41:16 > 0:41:18Did Dr Keogh just pay you a compliment?
0:41:18 > 0:41:20Kind of. It was weird.
0:41:20 > 0:41:23He's right, though - you should go for that promotion.
0:41:23 > 0:41:25Nah, don't think I'll bother.
0:41:25 > 0:41:26Why?
0:41:26 > 0:41:28Don't think I'm assertive enough.
0:41:28 > 0:41:30I hear you can be very commanding.
0:41:30 > 0:41:32I think it's more of a conviction issue.
0:41:32 > 0:41:35I don't think Danny would agree with you there.
0:41:35 > 0:41:38You're not worried about a bit of competition, then?
0:41:38 > 0:41:41A flower doesn't compete with the flower next to it,
0:41:41 > 0:41:43it just blooms.
0:41:43 > 0:41:45So we're flowers now?
0:41:45 > 0:41:47I think you're more of a bush, but, yeah.
0:41:57 > 0:42:00I hear you put on quite a show in resus.
0:42:00 > 0:42:03Et tu, Charlie? I thought you'd be above idle gossip.
0:42:03 > 0:42:05Oh, no, far from it.
0:42:07 > 0:42:08You know the whole story now?
0:42:08 > 0:42:11Yes, yes.
0:42:11 > 0:42:14Perhaps you should have shown a little faith.
0:42:14 > 0:42:17Oh! Was it a verbatim account?
0:42:23 > 0:42:26You know, you have a very strong team around you.
0:42:26 > 0:42:29If you would delegate more, you would have
0:42:29 > 0:42:31plenty of time for any extracurricular activity.
0:42:34 > 0:42:37I won't compromise my professional integrity.
0:42:37 > 0:42:38No-one's asking you to do that.
0:42:38 > 0:42:41He expected me to side with him.
0:42:41 > 0:42:42As would anyone in his position.
0:42:42 > 0:42:44What position is that?
0:42:44 > 0:42:46He was right.
0:42:46 > 0:42:52If anyone displayed bias or overreacted, it was you.
0:42:53 > 0:42:55Don't mess this up.
0:42:55 > 0:42:57You deserve to be happy.
0:43:04 > 0:43:06Oh, by the way, did you hear?
0:43:06 > 0:43:08What happens in resus doesn't stay in resus.
0:43:08 > 0:43:11I think they're like bacon and maple syrup.
0:43:12 > 0:43:16Shouldn't go together, but they kind of do.
0:43:18 > 0:43:19You wanted to see me?
0:43:19 > 0:43:20Yeah.
0:43:20 > 0:43:24I just wanted to say thank you for what you did for Maddy Allen today.
0:43:26 > 0:43:28Apology accepted.
0:43:35 > 0:43:38And I'm sorry if I embarrassed you in resus.
0:43:38 > 0:43:40Nah.
0:43:40 > 0:43:42I don't embarrass easily.
0:43:42 > 0:43:45Well, in that case, would you let me take you to dinner tonight?
0:43:47 > 0:43:50OK, cool.
0:43:50 > 0:43:52I think I'm free.
0:43:52 > 0:43:53See you in ten.
0:43:53 > 0:43:55You will.
0:44:11 > 0:44:12Are you coming to the pub?
0:44:12 > 0:44:14No, I just ordered us a pizza.
0:44:14 > 0:44:16What, the usual anchovy apocalypse?
0:44:16 > 0:44:22No. Veggie delight, thin and crispy. Your favourite. For the...
0:44:22 > 0:44:24Yummers.
0:44:24 > 0:44:25Bro's before dough's.
0:44:29 > 0:44:30You not coming to the pub?
0:44:30 > 0:44:33Yeah, in a sec - what do you think sounds better...
0:44:33 > 0:44:35fastidiously or meticulously?
0:44:35 > 0:44:38Neither. Why? What are you doing?
0:44:38 > 0:44:40Updating my CV.
0:44:40 > 0:44:42You're applying for the Band 6 job?
0:44:45 > 0:44:49Affirmative. Indubitably. Most assuredly.
0:44:50 > 0:44:52I'm going to go get my coat.
0:44:55 > 0:44:59So, Lofty just said he's applying for that promotion.
0:44:59 > 0:45:01Yeah? I hope he gets it.
0:45:01 > 0:45:04You've got to be more dog eat dog than this, Robyn.
0:45:04 > 0:45:06Actually, I've decided not to apply.
0:45:06 > 0:45:08Since when?
0:45:08 > 0:45:10If you think you've seen everything, you haven't.
0:45:10 > 0:45:12I've still got so much to learn.
0:45:12 > 0:45:14Besides, raising money for the infuser's
0:45:14 > 0:45:16going to be a full-time job.
0:45:16 > 0:45:19- Here he is. - What, what, who, who?
0:45:19 > 0:45:20Well, this has been here since lunchtime
0:45:20 > 0:45:22and it's gagging to be opened.
0:45:24 > 0:45:25Oh.
0:45:27 > 0:45:29It's quite light.
0:45:29 > 0:45:30Probably cash.
0:45:30 > 0:45:33A little festive bonus? You not going to open it?
0:45:33 > 0:45:35He's taking it over to the pub.
0:45:35 > 0:45:37Must be your turn to get a round in, Mac.
0:45:37 > 0:45:39Fair enough.
0:45:39 > 0:45:41Did I just hear that right?
0:45:41 > 0:45:42It must be a Christmas miracle!
0:45:48 > 0:45:51Right. Jack's another single who's ready to mingle.
0:45:51 > 0:45:53Is that what we are?
0:45:53 > 0:45:55Us lads should go out speed dating tonight,
0:45:55 > 0:45:58get ourselves some nice, nice ladies.
0:45:58 > 0:46:01I don't know, but I'm not sure that's Jack's thing.
0:46:01 > 0:46:03Yeah - it'll definitely be speedy.
0:46:03 > 0:46:06You got that right. Next. Next. Next!
0:46:06 > 0:46:07Any more for any more?
0:46:07 > 0:46:09Oh, pint, please.
0:46:09 > 0:46:10I'll give you a hand.
0:46:10 > 0:46:12Just going to the bar.
0:46:13 > 0:46:15He's a nice guy once you get to know him.
0:46:15 > 0:46:17You and Big Mac not hit it off yet?
0:46:17 > 0:46:19Nobody dulls Jack Diamond's sparkle.
0:46:19 > 0:46:22What do you mean exactly?
0:46:22 > 0:46:27He sluiced my spruce, binned my baubles, offed Olaf.
0:46:27 > 0:46:30- Well, he had to.- Why? To stop me spreading Christmas cheer?
0:46:30 > 0:46:33And MRSA, C.Diff and anything else going.
0:46:33 > 0:46:36The Trust provide us with regulation decorations.
0:46:36 > 0:46:39And she just stood there, waiting for me to leave.
0:46:39 > 0:46:41You can't help some people.
0:46:41 > 0:46:43If that's anything we've learned as a team...
0:46:43 > 0:46:44MOBILE PHONE RINGS
0:46:44 > 0:46:47Hang on a minute, mate, I've just got to take this outside.
0:46:47 > 0:46:49Excuse me.
0:46:49 > 0:46:50Young man.
0:46:50 > 0:46:52When you got a minute, please, a glass of red for me.
0:46:52 > 0:46:54Make that a bottle, please, and a bottle of white,
0:46:54 > 0:46:56three pints of lager and an orange juice.
0:46:56 > 0:46:59- Iain?- No, you're all right. I've just got one, cheers.
0:46:59 > 0:47:00Mac's buying.
0:47:00 > 0:47:02Nice one, Mac.
0:47:02 > 0:47:06- Right, well, suppose I better crack this open, then.- No! Wait!
0:47:06 > 0:47:07HE YELLS
0:47:07 > 0:47:09- LAUGHING:- He got glitter-bombed.
0:47:09 > 0:47:13Sorry about that. I did try and warn you.
0:47:15 > 0:47:17So you did this?
0:47:17 > 0:47:21I didn't know about the boring decoration rule.
0:47:21 > 0:47:24I just thought you were being a bit of a Grinch.
0:47:24 > 0:47:26Hence the green glitter.
0:47:26 > 0:47:29A Grinch? I think you got me wrong.
0:47:29 > 0:47:31See, I love Christmas.
0:47:31 > 0:47:33I love turkey.
0:47:33 > 0:47:36I love jingle bells.
0:47:36 > 0:47:38That will be £38 altogether, please.
0:47:38 > 0:47:41And good will to all men. Happy Christmas, Jack.
0:47:41 > 0:47:43Thank you, son.
0:47:44 > 0:47:46Do you fancy getting some fresh air?
0:47:46 > 0:47:48Absolutely.
0:47:52 > 0:47:54I had a dirt bike back in the day.
0:47:54 > 0:47:55Course you did.
0:47:55 > 0:47:57How does she compare?
0:47:57 > 0:47:58Jump on and find out.
0:48:02 > 0:48:04So how long before we can slip away?
0:48:04 > 0:48:07For appearance's sake, two, three minutes tops.
0:48:10 > 0:48:14Dixie told me about these two, but...seeing is believing.
0:48:14 > 0:48:16Good for them.
0:48:16 > 0:48:19I prefer the secrecy. Keeps things exciting.
0:48:21 > 0:48:25Jess has made a complaint. Harassment. Harassment?
0:48:25 > 0:48:27All I was doing was looking out for her kid.
0:48:27 > 0:48:29- Sorry, Dix. - Yeah. Not as sorry as I am.
0:48:29 > 0:48:32Right, don't stand there, you two, mine's a double.
0:48:37 > 0:48:38OK.
0:48:42 > 0:48:43Set?
0:48:43 > 0:48:46- Yep.- Yep.