Silence Speaks Casualty

-You'll have to find someone else.

-Not me!

Holby City Emergency department. What can I do for you?

-Hold up, mate.

-I'm Jack, your new ring-a-ding man.

Jess.

Hiya, guys.

Do you know each other?

-I was planning on telling Ethan.

-Good luck.

Now, I've just got to find her.

I wouldn't do it alone.

-You offering?

-Why not?

It would be good if she was a bit more careful.

You don't want people wondering why her file's getting so thick.

PHONE RINGING

If you're standing me up, could you at least let me know?

This is number one, OK, Maddy? Numero uno.

Oh!

Very funny.

-Sorry.

-OK.

Er...yeah, well, if I'd have known you were coming...

You'd have baked me a cake?

Well, no, I would have least got some bagels.

Don't worry. I can work with what you've got.

-No, it...

-Sit.

No...

Sit.

That for the CCG?

Yeah, I should have finished it last night.

Sorry for the distraction.

You don't look very sorry.

HE CHUCKLES

Your shift starts soon.

Don't worry, boss, I won't be late.

Surprise! Merry Christmas!

What have you done?

Just call me Frost. Jack Frost.

Where's your uniform?

I spoke to management, told them we needed a makeover.

It's pink.

We'll be like flamingos amongst a flock of pigeons.

Rita!

You can thank me later.

I've been waiting for you for the final, finishing touch.

Everyone's a star and deserves the right to twinkle.

What on Earth are you doing?

So you're behind this, are you?

I was just trying to spread a little Christmas cheer.

Yeah, well, unfortunately, that's not all you're spreading.

Bit early there, Santa.

Blasphemy.

His name's Olaf and he likes...warm hugs.

Ah, it's beginning to look a lot like Christmas!

Big Mac's on it.

I like it. It's all happy and sparkly.

Funny - that's exactly what Mrs Beauchamp said.

Can you and Lofty get on with re-stocking cubicles for me?

-Argh!

-Come on, I asked nicely.

OK.

Speaking of which, the Band 6 vacancy is available online

so you can stop pestering me now, Robyn.

RINGING

Maddy. This is the fifth call now. Number five!

I'm sorry, but you know the drill.

SHALLOW BREATHING

BUZZING

Come on, mate, cheer up.

I'm trying to think pink, Noelle, but everything's lost its sparkle.

Why don't you take it home with you, give your place a Christmas spruce?

No point. Nobody there to appreciate it.

Jacob. You're still feeling festive, right?

Yeah, full of joys, me.

Sounds like someone had a good night.

Can't complain.

The Clinical Commissioning Group will be here very shortly.

Ready and waiting, Mrs Beauchamp.

I can still see evidence of this morning's fiasco.

Well, that's not our...

No excuses. Sort it.

Staff Nurse Masters.

Boss.

OK, come this way to be triaged.

Rita?

Lofty, make it quick.

Is now not a good time?

It's the season of hangovers and heart attacks -

there's never going to be a good time.

Right. It's just I was thinking about going for the job?

Seeing as I asked you half an hour ago.

I meant the promotion.

I saw you talking to Robyn about it earlier on.

Right.

It's just I was looking for someone a bit more...assertive.

Course. Sorry.

The role requires a certain amount of confidence and conviction.

-OK.

-And I'm not sure you're quite there yet.

I understand.

I've just got to go and re-stock.

OK.

Nice hat, by the way.

OK.

Sure you don't want me to drive?

Very funny.

No, you're right. Best to get back in the saddle.

Thanks for that, nugget.

So you're still mad at me?

I'm not mad, I'm just disappointed.

Ouch.

What do you expect?

Worst day of my civilian life and you go AWOL.

Actually, it was more missing in action.

Nikki brought Olivia in again.

Sprained wrist.

And?

That's twice in less than a month.

So she's unlucky.

Is she?

Be careful, Dix.

She's in the main building.

What's with the GPS? Feel like I'm on a treasure hunt.

It's Maddy Allen.

If she hasn't answered her phone after a few goes,

her mum sends out an alert.

Oh, right. So we're a taxi service for hungover teenagers?

Not exactly. It's part of a local MND support service.

Maddy's in her 40s and she's got advanced motor neurone disease.

Maddy?

I could get the caretaker?

Hang on.

Or I could just boot it.

Up here for thinking, down there for dancing.

Maddy?

Can you hear me?

The acoustics in here are great.

OK. Have you got any pain?

No.

Right, let's sit you up, help with your breathing. OK, lovely?

Yup.

Ready, Iain? One, two, three.

Did you check the gents?

I decked the stalls with boughs of holly.

Much obliged.

# Fa la la la la, la la la la. #

You're not still holding a grudge, are you?

I never hold a grudge. Once I get even, I'm over it.

OK. Discharged?

Kick-off's in half an hour.

I'm just going to get some fresh air before the stuffed shirts arrive.

Want some company?

You've only just got here.

There's gotta be some perks to sleeping with the boss?

It's not a package deal, I'm afraid.

Maddy?

Yeah, Maddy Allen, 46, she's got motor neurone disease.

She fell out of her wheelchair approximately three hours ago.

Cubicles. Yeah?

OK. There's no obvious injuries but she's short of breath.

GCS 15, pulse 50, BP 110/60. Sats 93%, her temperature's 38.5.

I dropped my phone.

Right, let's get you in the warm.

Somewhere far from the madding crowd, please, Connie.

Don't worry, I'll look after you. Is your mum on her way?

I'm surprised she didn't beat the ambulance.

We're nearly there.

Mum? It's time to wake up now.

I can't. Mustn't sleep...

No! Don't!

Danny!

Straight through to HDU, please.

All quiet on the Western Front.

I guess it helps having friends in high places.

So how do you two know each other?

Connie volunteers at the MND support group.

Fundraiser, campaigner, brings a mean lemon drizzle.

Ah, well, that's shop-bought, I'm afraid.

Right, Maddy, we're going to move you onto the other bed, darling,

OK? Here we go, nice and gently.

Thanks, guys.

Sorry. Mum's on a mission to fatten me up.

A high-carbohydrate, high-calorie diet could delay

the progression of MND - according to a phase two study.

It's been doughnuts at dawn ever since.

Thanks for calling the cavalry.

Five strikes and you're out, kiddo.

This is why you should move in with me.

And become your lab rat? No, thank you.

I'd like to say it was nice to see you again, Mrs B,

but given the circumstances...

What's the damage?

Well, we need to confirm with a chest X-ray,

but it looks like a chest infection, possibly pneumonia.

That's the last thing we need. She's already struggling.

The muscle wastage in her upper body has spread.

Charming. I can speak for myself.

I don't normally get a word in.

"A bird doesn't sing because it has an answer.

"It sings because it has a song." Maya Angelou.

Why were you even at work? It's the holidays.

Mum's the word.

Meaning?

That you'll have to wait and see.

You OK?

My leg hurts.

It's bad, isn't it?

We can't stay in here like this.

Argh! Argh!

Argh!

I can't.

Please, Mum. You have to.

Argh!

We don't have to go far.

I don't like this, Danny.

Argh!

It's going to be OK.

Just stick to the story.

'Which service, please?'

Ambulance, please.

We'll get you started on a course of antibiotics straight away, OK?

Wait.

One second, mate.

Can I ask you something?

Course.

Which is better - "Do you want to take me for a test run?"

or "Do you want to burn some rubber?" Don't laugh.

I've been practising those all morning.

Oh! So you've found someone?

Not exactly. But a girl's got to plan ahead.

Very true, very true.

You OK, Maddy?

I feel...strange.

Strange how?

SHE PANTS

Help me, Jacob.

I need you to help me.

OK, OK. Let's get her through, quickly, please.

Well?

We've confirmed the pneumonia.

What's going on? Why's she like that?

The infection is making it hard for Maddy to move air.

Resp rate's up to 30.

We should discuss Maddy with ITU -

she may need further help with her breathing.

-You want to ventilate her?

-Maddy has an ADRT.

Let's give her high-flow oxygen. That might be enough.

And if it's not?

We both know Maddy's wishes.

If she can't swallow, we won't feed her.

If she can't breathe, we won't make her breathe.

Right, I'm going to cancel this presentation.

No. She wouldn't want any fuss.

Sit with her, OK?

Talk to her.

Yeah.

I'll be back as soon as I can.

-Connie.

-Oh!

If she continues to deteriorate?

Her living will clearly states

that she doesn't want invasive ventilation, OK?

-But...

-No buts, Staff Nurse Masters.

An advanced directive is legally binding, OK?

I'm just saying a sprained wrist is a potential sign of abuse.

That's one of 100 possibilities.

Well, she came in last year with a broken arm.

-Jess tell you that?

-Not exactly.

Dixie?

Well, I might have glanced at Olivia's medical records.

-Oh, what?!

-I'm telling you, something's not right.

Right, well, if you've gone that far and stooped that low

and got nothing concrete, then you've got your answer.

You're right. I know you're right. I've just got this feeling.

Just forget about it.

It's my mum - she's broken her leg.

You don't look too smart yourself, mate.

I'm fine. Please, she needs your help.

Well, maybe you shouldn't move if you think you've broken a bone.

We thought the car might catch fire.

You've been watching too many Fast and Furious movies.

So where were you heading?

Cleaning job. Danny helps me.

The road was icy.

Have you had a drink, love?

Just a couple last night.

-POLICE SIRENS WAIL

-Christmas party.

You need to give your system enough time to process the alcohol.

You could be over the limit.

I wasn't thinking.

I was up early for work, you know.

POLICE RADIO CHATTER

Right, we're going to be five minutes, guys.

We'll see you back at the ranch, OK?

Thank you.

What are you doing?

The ABG shows worsening hypoxia. Her oxygen levels are decreasing.

You might want to reconsider.

Reconsider?

You have power of attorney.

Yes, but...

You've done your research,

so you know ventilation gives Maddy the best prognosis.

You think this is what I want?

She's my only child.

I've already lost her father.

This infection is just a temporary setback.

Her breathing muscles have already weakened.

She'll be dependent on a machine to breathe, a machine to communicate.

It's not what she wants.

Just before she lost consciousness...

..Maddy asked for my help.

What?

Look, she was looking forward, to the future.

I think she'd changed her mind about treatment.

You think?

Why would she talk to you?

I was there.

I've been there her whole life.

Of course. I didn't mean to...

Maddy's a teacher, a great one - it's what she dedicated her life to.

The kids are finding it harder to understand her now

and that's been...

devastating.

She made me promise she'd never lose her voice.

She's always been independent.

Fiercely so.

I won't let you silence her.

PHONE RINGS

It's her solicitor. If you'll excuse me.

Arial or Times New Roman?

I thought you were more of a Wingdings girl.

I can't just Wingding this, Louise. I really want this job.

Garamond. It's simple, elegant. Put your best font forward.

Oh, Charlie, have you got anything juicy for us today?

You're a bit keen!

Just showing my strong clinical leadership

and my communication skills, as per usual.

The job's online, then?

I don't know what you're talking about.

All right, come on, I'll see what I can find you.

-Charlie.

-Yeah.

Any luck with your contact at the adoption agency?

Still nothing, I'm afraid. Do you want me to step it up a bit?

Yeah, if you could. Thank you.

I think Ethan knows something's going on.

-If I could find my mum, get some answers...

-Right, leave it with me.

Great.

OK, you're on.

-Yes!

-Yes!

Right, this is Joanne Holland, 39, driver involved in an RTC.

Car versus wheelie bin.

She's got a compound fracture of her left tib fib.

Not KO'd at the scene and neck was cleared.

All obs are fine.

I've given her ten of morphine and there's a strong smell of alcohol.

Hang on a minute, mate, you're going to cubicles, this way.

Are you sure there's nobody I can call for you?

It's just me and Danny.

Right, have you got any allergies?

OK. Can we get 1.2g co-amoxiclav IV?

How about tetanus - are you up-to-date on that?

-I don't think so.

-Let's get a booster as well.

It was a Christmas party.

All right. FBC, U and Es, group and save and a coag.

She's slightly tachycardic so let's do a full trauma series,

find out what's at play.

I just had one or two.

She must be well over the limit.

We get that a lot this time of year.

-So what next?

-If she's got no convictions,

she'll get a ban and a fine.

She was driving drunk with a kid in the car.

We treat and street, leave the rest to the police.

That's right, take it easy. I've got plans for you later.

Oh, yeah? My mother warned me about girls like you.

I doubt her imagination was this good.

You ready, mate?

Yeah.

WHEEZING

Maddy?

I need some help in here.

MND patient with pneumonia.

Her BP dropped suddenly with oropharyngeal oedema.

OK, this looks like anaphylaxis. Has she been started on antibiotics?

Clarithromycin and amoxicillin IV.

Can I get 0.5 mils of 1 in 1,000 adrenaline IM,

200mg hydrocortisone IV and 10mg chlorphenamine IV, please?

And can we get ketamine and Atracurium on standby, please?

SATS are dropping, Ethan.

OK, let's fast bleep anaesthetics.

OK, we are losing her airway.

We need to intubate. We are going to pre-oxygenate now.

Cricoid on, please.

Drugs can go in. Thanks.

OK.

Her airway's occluded. I am going to try size 6, please.

What's happened? What are you doing now?

Maddy's had an allergic reaction to the antibiotics.

She needs an emergency airway.

What about the advanced directive?

Excuse me?

-Can you carry on bagging, please?

-OK.

Er...sorry, we weren't aware...

He knew.

This is an acute reaction.

Once she's intubated and the swelling has gone down...

No! You know she doesn't want that.

Maddy is my patient. I have to fight for what I think is right.

I want to speak to Connie Beauchamp. Now!

You know you should never get in the car

-with someone who's been drinking.

-I know.

Has this ever happened before?

Course not.

Right. I just need to review your neck, OK?

Did you know there's a stethoscope that means

you can hear the heartbeats of astronauts when they're in space?

Yeah.

Can I just...? Clunk, click, every trip, eh?

Do you mind taking your top off?

I was sitting in the back.

Right, thing is,

that kind of bruising looks like it's from a steering wheel, so...

Mum had this Christmas party last night.

I thought it'd be safer.

Safer? You must be a pretty good driver, then?

-Is this the first time you've crashed?

-Course.

So you've done this before?

It's no big deal.

Then you won't mind telling the police what you told me, will you?

Whatever. Can I see my mum now?

And the options put forward by the NHS

to address the exceptional pressure my, and other emergency departments,

are under are woefully inadequate.

Excuse me, Mrs Beauchamp.

I'm afraid there's a bit of an emergency downstairs.

I would've thought the team would have been used to that by now.

Thank you.

Right, well, sorry about that.

Perhaps we should take an early tea break.

I'll be back as soon as I can.

She's on her way.

Thanks.

If looks could kill, she'd be an Uzi.

This had better be important.

Maddy had an allergic reaction to the antibiotics.

-OK.

-She needs to be ventilated.

I'm afraid that's not your call.

Look, Maddy asked me to help her before she lost consciousness.

-Help her what?

-Live.

She said that?

That's what she meant.

Oh!

Look, patients can overturn advanced directives.

If they're competent enough to make that decision, yes.

MND doesn't affect the mind.

What about altered state, pain medication?

No, no, no, no - she was conscious and alert.

She looked me in the eye and asked me to help her.

-Does Rosie know all this?

-Yeah.

Then it's out of your hands.

-No.

-Yes. I've had experience with MND.

It can make a patient feel trapped, desperate.

You have interpreted her words one way.

What if she meant the other? What if she meant help her die?

You're off this case, with immediate effect.

-That's not your decision.

-I will clear it with Rita.

Jack, tell Sister Freeman I'm taking my break.

Right, Joanne.

I've liaised with orthopaedics

and you're on the trauma list for theatre, OK?

I need an operation?

They'll need to stabilise the bone, prevent further tissue damage.

Please. I can't.

Well, you can discuss any further concerns with the surgeons.

No, you don't understand. I can't.

Mum? What's wrong?

They want to put me to sleep.

Lofty, now is not a good time.

-I've got an update on the accident.

-I need something, Danny.

-No, Mum.

Please. Make it go away. Make it stop.

-She's becoming more tachycardic.

-Yeah.

I hate this. I don't want this.

-I'm no good.

-Lofty, can you...?

Eight months old and he slept right through.

Please, don't...

Wake him up, Danny. Danny, don't let your brother sleep.

Has the brother been admitted?

No, she said it was just her and Danny.

I put him down to sleep and he never woke up.

Danny, we need to let the doctor look after your mum.

Why? What's wrong with her?

-She may have another injury from the accident.

-It's not your fault.

I can't sleep. I won't.

Oh, my days! Noelle? Somebody?

Anybody? I can't look.

It's all right, they know what they're doing.

Can I have a chair, please?

Do we know who this is?

Daniel Holland.

I was on my way to see him.

Let's get him to small resus, please.

Nice and easy, there we go, sir.

Peace offering.

You'll have to try harder than that.

Well, in that case...

Better.

Now this doughnut represents a circle of trust,

OUR circle of trust.

We're a team and we should stick together.

Right. Didn't you get one?

There's no "I" in team.

I didn't know we were expecting company.

I've got a question about Maddy Allen.

Go on.

Do you know what she was doing at the school?

Not exactly.

There was a laptop and some of them call-centre earphones.

-And she said something about acoustics.

-Yeah.

Did the computer come in with her?

She insisted.

I left it at reception.

What's going on, Jacob?

I'm speaking up for someone who can't.

-What are you doing?

-Doing what he said.

-What do you mean?

-I'm going to go and see Jess.

-No, you can't!

-Watch me.

OK, let's have a look.

How's she doing?

She's still having trouble breathing on her own.

I have to ask this.

You do understand what will happen if this continues?

It was hard to talk about.

But we did.

So that this wouldn't happen.

So I wouldn't question whether I was doing the right thing.

Staff Nurse Masters is no longer on the case.

Thank you.

There's no cure, no real treatment, nothing.

This is the one thing she asked for, the one promise I made her.

A collection of fluid in the upper left quadrant,

that's probably bleeding from the spleen.

BP's dropped to 88/63.

OK, he's gone into shock.

Let's activate the major haemorrhage protocol, then, please.

Can we get another line in and run two units of O-neg

through the rapid infuser?

Somebody let the mother know. We'll need consent for surgery.

Stand by with the tranexamic acid.

Where's Danny? Where is he?

Let's speed up these fluids and keep an eye on the pressure.

What's wrong with the son?

Query ruptured spleen. Turns out he was driving the car.

-What?

-So she's an habitual drinker?

I would say so. Is this because of the crash?

No, given the history, it's likely oesophageal varices.

SHE RETCHES

Can I get suction, please?

She's going to keep haemorrhaging.

Can we phone haematology and let them know

we have a likely variceal bleed in resus, please?

Activate the major haemorrhage protocol and give 2g terlipressin.

Can we contact the gastroenterology team

and anaesthetist to prep for endoscopy?

Where's the rapid infuser?

It's with Danny next door.

-Can you go and get it, please?

-Isn't there another one?

No, I'm afraid there isn't.

Well, that's stupid, this is a major trauma centre.

They're £18,000. Louise.

Lofty, Lofty.

He's in shock.

This case takes priority.

Hiya, Dixie.

Is this a bad time?

Nah, I'll just file this under B for boring.

Not enjoying your desk job?

Keep pressing escape but I'm still here.

I'm sorry if you think...

You were right to say something, so if that's why you're here...

It's not.

Right.

Is there somewhere we can chat?

Yeah.

Are we nearly ready to go?

I'll just push through this unit then the mother can have it, OK?

No. Take it. It's my fault she's ill.

Your mum's sick because of the drinking,

it's nothing to do with the crash.

I let her drink. I want her to.

Stop it! I know you want her to get better.

I look after her.

Whoa!

OK, take the machine through to resus.

We'll have to hook him back up with a pressure bag.

No. Please. No. No.

What if your mum loses you too? Who's going to look after her then?

Let us look after you both. Trust me, Danny.

She's going into haemorrhagic shock.

Thank you.

Want one?

No, thanks.

So what's this about, Dixie?

I saw Olivia again.

Did she tell you?

Yeah. We've kind of been in the wars recently.

Does that happen a lot?

It's the first hole I've fallen down.

To Olivia, I meant.

She slipped on ice.

Whilst Nikki was looking after her?

What are you saying?

That I'm here if...

if you want to talk.

Olivia means everything to me.

Do you really think I'd let something happen to her?

I've been polite. I've listened.

I've explained and now I'd like you to leave.

Jess, please...

SHE SIGHS

-Do you want to take over again?

-Yeah.

Jacob?

I just want to have a quick word with Rosie.

I don't think that's a good idea.

Why won't you leave us in peace?

I am very sorry,

but there is something you need to know about your daughter.

Because you're such an expert? You've known her five minutes.

Please. Just listen.

There's really nothing you can say.

Then I'll let Maddy do the talking.

-MADDY:

-'Hello, how are you? What's new?

'Thank you for coming to visit.'

It's called voice banking - recording your natural voice

to create a personalised, synthetic one.

I've read about it.

Maddy was programming her voice for a speech-generating device.

'Do you want to take me for a test run?

'Do you want to burn some rubber?'

There's an option to record personal phrases so it sounds more authentic.

'Surprise! This is for you, Mum.

'Merry Christmas.'

This is why Maddy was at the school.

You see, you need a quiet room, with good acoustics.

This was her Christmas present to you.

Sats are dropping.

Now that you know Maddy was making preparations to lose her voice...

-I can't...

-She's becoming synotic.

-Do you want me to take over?

-Yeah.

-What are you frightened of?

That she'll be trapped. That she'll be angry with me.

That I'll be doing the wrong thing.

Do you remember how Maddy felt about her wheelchair to start with?

She hated it, with a passion.

Expectations change over time.

What people can cope with changes over time.

She asked for my help, Rosie.

-She's in respiratory arrest.

-OK.

Do what you have to do. Save her.

Yeah, OK. Let's get her through to resus.

Back so soon?

I wrapped it up quickly - the place seems to fall apart without me.

Is that a fact? So how's tricks?

What?

The rocky road to romance, cupid's little arrow.

Staff Nurse Masters?

I'll wait here.

What are you doing?

Guess that answers that.

I'm going to start with a size 6. Let's repeat the adrenaline, please.

What are you doing?

We're intubating her.

Keeping someone alive against their wishes is the ultimate indignity.

Rosie gave consent.

OK, bougie, please.

You mean you coerced her?

Are you serious?

You are depriving her daughter of her dying wish.

Not to mention leaving us open to a law suit.

Do you know, you could have a little more faith.

I'm sorry if my professionalism disappoints you.

-75%.

-I thought you'd be on my side.

Right, let's get this clear -

sleeping with me does not give you privileges in the ED.

OK, this is not going to go through.

Right, do you have a Plan B, Dr Hardy. No?

Right, let's dispense with the ET.

Let's go for a definitive surgical airway.

Can I have the cric set, please?

Scalpel.

OK, forceps.

Get the tube.

OK.

Check airways, please.

Good air entry.

-Bilateral.

-OK.

I'm going to go see the mother.

How are you feeling?

OK. How's mum?

She's doing well. You can go and see her tomorrow.

I just wanted her to sleep, but she kept needing more and more.

I messed up, eh?

You could talk to her about how her drinking makes you feel.

What's the point?

Sometimes people who drink need to know how it affects other people.

Hearing the truth might help her stop.

I don't want to upset her, make her sad.

That's part of the grieving process.

It's hard but sometimes it's better to hear what's inside outside.

That's what a stethoscope's for.

Are you in love with your stethoscope or something?

Come on, it's pretty cool.

So will you talk to her?

I dunno.

It's kind of embarrassing.

You could write it down? Or I could?

I've got a pen and paper here.

Shouldn't I wait until she's better?

This is to make her better, remember?

Hi, Mum.

Lofty said to tell you how I feel about your drinking.

"I'm not doing this to be mean. I just want you to stop.

"I get embarrassed when you drink. You get sick and fall over.

"Today, I had to put you in the bath and dress you.

"I don't like doing stuff like that.

"You've told me that you'll stop lots of times, but you forget.

"You shout and smash things up and then you forget.

"You say it's my fault that Freddie didn't wake up.

"That you wish you hadn't had me.

"I know that you're sad, but I'm sad too.

"Please don't be angry. I just want you to get better."

Cal?

Yeah?

Have you by any chance ever had a look at your birth certificate?

No. Why?

Nothing's showing up in this borough.

We may need to widen the search.

Wow. OK.

You having second thoughts?

No, I'm ready. I'm ready to meet my maker.

They really need to invest in another one of those infuser thingies.

OMG. Snaps for Noel. That's a great idea. Let's do it!

You do realise they cost 18 grand?

-How much?

-We could do like a sponsored Santa sprint.

Finally!

Something Christmas-alicious after Big Bad Mac pulled the plug.

-You really need to let that go, mate.

-Oh, I will.

I'll get something up on the notice board ASAP.

Did you not hear me when I said 18 grand?

You've got to be in it to win it, Louise.

Everything OK?

Depends what you mean by OK.

We're surviving.

I just hope I did the right thing.

Maddy.

Darling, it's me, mum.

You're in hospital.

I'm sorry.

Forgive me, darling.

Please forgive me.

Your staff nurse, Jacob.

Can you thank him for me?

Any news on the Hollands?

Joanne's agreed to a rehab programme

and she's talking to the police now about changing his statement.

Excellent. I was very impressed with your performance in resus,

very commanding.

You'll be applying for the promotion?

I'm not so sure.

Well, be sure. In life, you have to give 100%.

Unless you're a blood donor, of course. Which you should be.

Blood owners should be blood donors.

I'll leave you with that.

Did Dr Keogh just pay you a compliment?

Kind of. It was weird.

He's right, though - you should go for that promotion.

Nah, don't think I'll bother.

Why?

Don't think I'm assertive enough.

I hear you can be very commanding.

I think it's more of a conviction issue.

I don't think Danny would agree with you there.

You're not worried about a bit of competition, then?

A flower doesn't compete with the flower next to it,

it just blooms.

So we're flowers now?

I think you're more of a bush, but, yeah.

I hear you put on quite a show in resus.

Et tu, Charlie? I thought you'd be above idle gossip.

Oh, no, far from it.

You know the whole story now?

Yes, yes.

Perhaps you should have shown a little faith.

Oh! Was it a verbatim account?

You know, you have a very strong team around you.

If you would delegate more, you would have

plenty of time for any extracurricular activity.

I won't compromise my professional integrity.

No-one's asking you to do that.

He expected me to side with him.

As would anyone in his position.

What position is that?

He was right.

If anyone displayed bias or overreacted, it was you.

Don't mess this up.

You deserve to be happy.

Oh, by the way, did you hear?

What happens in resus doesn't stay in resus.

I think they're like bacon and maple syrup.

Shouldn't go together, but they kind of do.

You wanted to see me?

Yeah.

I just wanted to say thank you for what you did for Maddy Allen today.

Apology accepted.

And I'm sorry if I embarrassed you in resus.

Nah.

I don't embarrass easily.

Well, in that case, would you let me take you to dinner tonight?

OK, cool.

I think I'm free.

See you in ten.

You will.

Are you coming to the pub?

No, I just ordered us a pizza.

What, the usual anchovy apocalypse?

No. Veggie delight, thin and crispy. Your favourite. For the...

Yummers.

Bro's before dough's.

You not coming to the pub?

Yeah, in a sec - what do you think sounds better...

fastidiously or meticulously?

Neither. Why? What are you doing?

Updating my CV.

You're applying for the Band 6 job?

Affirmative. Indubitably. Most assuredly.

I'm going to go get my coat.

So, Lofty just said he's applying for that promotion.

Yeah? I hope he gets it.

You've got to be more dog eat dog than this, Robyn.

Actually, I've decided not to apply.

Since when?

If you think you've seen everything, you haven't.

I've still got so much to learn.

Besides, raising money for the infuser's

going to be a full-time job.

-Here he is.

-What, what, who, who?

Well, this has been here since lunchtime

and it's gagging to be opened.

Oh.

It's quite light.

Probably cash.

A little festive bonus? You not going to open it?

He's taking it over to the pub.

Must be your turn to get a round in, Mac.

Fair enough.

Did I just hear that right?

It must be a Christmas miracle!

Right. Jack's another single who's ready to mingle.

Is that what we are?

Us lads should go out speed dating tonight,

get ourselves some nice, nice ladies.

I don't know, but I'm not sure that's Jack's thing.

Yeah - it'll definitely be speedy.

You got that right. Next. Next. Next!

Any more for any more?

Oh, pint, please.

I'll give you a hand.

Just going to the bar.

He's a nice guy once you get to know him.

You and Big Mac not hit it off yet?

Nobody dulls Jack Diamond's sparkle.

What do you mean exactly?

He sluiced my spruce, binned my baubles, offed Olaf.

-Well, he had to.

-Why? To stop me spreading Christmas cheer?

And MRSA, C.Diff and anything else going.

The Trust provide us with regulation decorations.

And she just stood there, waiting for me to leave.

You can't help some people.

If that's anything we've learned as a team...

MOBILE PHONE RINGS

Hang on a minute, mate, I've just got to take this outside.

Excuse me.

Young man.

When you got a minute, please, a glass of red for me.

Make that a bottle, please, and a bottle of white,

three pints of lager and an orange juice.

-Iain?

-No, you're all right. I've just got one, cheers.

Mac's buying.

Nice one, Mac.

-Right, well, suppose I better crack this open, then.

-No! Wait!

HE YELLS

-LAUGHING:

-He got glitter-bombed.

Sorry about that. I did try and warn you.

So you did this?

I didn't know about the boring decoration rule.

I just thought you were being a bit of a Grinch.

Hence the green glitter.

A Grinch? I think you got me wrong.

See, I love Christmas.

I love turkey.

I love jingle bells.

That will be £38 altogether, please.

And good will to all men. Happy Christmas, Jack.

Thank you, son.

Do you fancy getting some fresh air?

Absolutely.

I had a dirt bike back in the day.

Course you did.

How does she compare?

Jump on and find out.

So how long before we can slip away?

For appearance's sake, two, three minutes tops.

Dixie told me about these two, but...seeing is believing.

Good for them.

I prefer the secrecy. Keeps things exciting.

Jess has made a complaint. Harassment. Harassment?

All I was doing was looking out for her kid.

-Sorry, Dix.

-Yeah. Not as sorry as I am.

Right, don't stand there, you two, mine's a double.

OK.

Set?

-Yep.

-Yep.