Black Alert Casualty


Black Alert

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Transcript


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I am not sure I gave you the best attention. It can be difficult.

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At least you're doing something that helps.

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-I often wonder.

-I'm sorry.

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Careful, you're going to streak!

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I'm a serious nurse and this job means everything to me.

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We need to get out of here.

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Go, girls!

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-He's all I have got left and that's all...

-Tell him the truth.

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Thanks.

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Have you slept?

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I know I'm still the pariah of the department

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and it's none of my business...

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..but you have to stop beating yourself up about Olivia.

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Mistakes happen.

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Believe me, I know.

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Why don't you go and see Mrs Beauchamp.

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Perhaps she could spare you for the day?

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What, and let everyone down?

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You are exhausted.

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Staff welfare is just as important as patient welfare.

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All right, Lofty?

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We're ready for you.

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-You did get my e-mail, didn't you?

-No. What e-mail?

-Never mind.

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OK. This is Staff Nurse Ben Chiltern.

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-Hello.

-Want to take a seat?

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I hope you don't object to me sitting in?

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I always find it useful to get a 360 perspective

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on the interview process.

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No, it's a Trust-wide issue.

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All right. Let's review on the hour. Yep, you do that.

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St James's have just declared a Black Alert

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and I feel it's only a matter of time before they close their doors.

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And start diverting to us?

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The bleak midwinter is upon us.

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At least Dr Hanna is back and on her way in.

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Right, you wanted to see me?

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Er, oh, no. It's...

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It's nothing.

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-Just let me know what I can do to help.

-All right.

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Who are they from?

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No-one.

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Oh, it's Jess and Olivia.

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Saying thank you.

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That's nice of them.

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-No?

-Well, it doesn't change the fact that she made the complaint

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and I've still got the investigation hanging over my head, does it?

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-No, I suppose not.

-'Holby Control to 3006.'

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And what's wrong with chocolates? I mean, you can eat chocolates!

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3006 to Control. Go ahead. Over.

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Yes, Maxy Boy.

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Yes, buddy. Keep 'em coming.

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You're lagging way behind, ladies.

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-Yeah, so is your face.

-THEY LAUGH

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There's nowt worse than a sore loser. ..Mrs Dickinson?

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Have you heard about St James's?

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What even is a Black Alert?

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It's like the last step before a hospital closes.

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No beds, no room at the inn.

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There wasn't, like, a major incident or anything?

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No, but just look around. Just good old-fashioned sick people.

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Mrs Dickinson!

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It's madness.

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Band-Aids on bullet holes.

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-Are you quoting me Tay Swift?

-Of course, babes.

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I am the bearer of good news.

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-You passed?

-I did.

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I am now certified to ride the great length of this country of ours

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on two wheels.

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Can I just ask that you never wear leathers?

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-I thought you were going home?

-Just leave it, please, Lily. Just...

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Morning...

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What?

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-Are you all right?

-Yes, I'm fine. Why's everybody asking me that?

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It's going to take him a while to process.

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But you did the right thing by telling him.

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Yeah.

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Those are the differences, as I see them, between a baby-five and...

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"Band-five", not "baby-five".

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Yes, a band-five and band-six nurse.

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Great, that's all we need.

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KNOCK AT DOOR

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Sorry for interrupting, we've been put on a Red Alert footing,

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so I need all clinical staff back on the floor.

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We're just finishing up, actually.

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And St James's have also declared a Black Alert. So...

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Excuse me, Mrs Beauchamp, I'll have to attend to this.

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We'll speak later, if we may?

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(Yes...)

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Quick as you can.

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You're back.

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Not officially. But Connie called, said she needed help, so...

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How was it? The US of A.

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Good. Yeah. Big portions.

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Who were you with?

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Can we talk about this later?

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-Yeah, sure.

-I was with Nick Jordan. He's an old colleague, friend.

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I'll phone my counterpart at St James's.

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Stress how dire the bed situation is. If they close their doors,

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-we won't cope.

-We've got too many patients being admitted

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and no means of discharging the ones we've got.

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You keep me updated.

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Have you seen it out there? It's like a war zone.

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-I am doing my best!

-OK.

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Oh, Jacob...

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SHE SIGHS

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Sorry, do you work here?

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Yes, I'm a registrar.

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I didn't know what else to do.

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Keep thinking about how lonely I am.

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Keep thinking about making it all stop.

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These thoughts...

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..have they advanced, at all, in terms of making a plan?

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-I don't want to put anybody out.

-You're not.

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We are doing the right thing talking about your depression.

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Chris, I want to help you. OK?

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You said that you'd lost your wife and son.

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It's a year ago tomorrow.

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Claire, my wife, and Rex...

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..they'd gone to her mother's.

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She lost control of the car and died instantly.

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And Rex died in the ambulance on the way to the hospital.

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He was six.

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You must be in an awful lot of pain.

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But this...

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This isn't the answer.

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Dr Hardy, a word, please.

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Excuse me.

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We have patients backed up out here, OK? >

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Right, I have a patient who has expressed suicidal thoughts. >

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You're a registrar, not a psychiatrist.

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Yes, but I owe him a level of care and commitment. >

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What is this really about?

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OK. I missed something before and I'm not going to let that happen again.

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You are needed on the shop floor.

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I'm sorry about that.

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I shouldn't have come in.

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No. If you can just register at reception, we're going to do

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everything we can to help you.

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Yeah.

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Bye-bye, bye.

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-Good luck. Have fun.

-Take care.

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Take care. Travel safe.

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See ya on the flipside!

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Take care, bye.

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ALL SHOUT

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What are you doing?

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Can you get my tobacco out for me?

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All right, Fag Ash Lil, you've just had one, haven't you?

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Can you just get my tobacco out, please?

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-What's this?

-Not going to see you on your birthday, am I?

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You've done a lovely job with the wrapping.

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Do I open it now or save it?

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Open it now.

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Look inside.

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"Make it count. Meet me at the clock in August.

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"Love you loads, Lee."

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Oui?

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Oui.

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Hi. I'm so sorry we've got you out here.

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We're doing everything we can to find you a bed.

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-In a hell of a lot of pain, she is, Doc.

-Are you a relative?

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No, friend. Flossy's home alone. I come round in the day.

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-I found her like this, doubled over in agony.

-OK.

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Flossy, could you tell me a bit about what's wrong with you?

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It's my stomach.

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I've never felt anything like it.

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Any other medical problems?

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Flossy's got Stage 4 ovarian cancer.

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She's on liquid morphine and fentanyl patches.

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Otherwise fit and well.

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Not doing too bad for 82.

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How bad would you say the pain is at the moment, Flossy?

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Between one and ten?

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Oh, pushing nine, I reckon.

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OK, I can see that you're struggling.

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I'm going to have a little feel of the abdomen, if that's OK?

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Could you help me with the screen, please?

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I'm just going to lay you flat.

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All right? I'm going to pop up your gown, OK?

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All right.

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FLOSSY MOANS

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All right, love. What do you think, Doc?

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I'm just going to have a listen, as well.

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SHE WHIMPERS

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I will need to do an abdominal X-ray.

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It's just to get a better idea of what's going on.

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I's also like to take some bloods, but before any of that,

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I'm going to get you some pain relief, OK?

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I don't want to be any trouble.

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No. You're no trouble at all.

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Thank you, Doc.

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Lily, I need a cubicle.

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-You and everybody else.

-No, I need a bed.

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-Let me try and find Rita.

-Right.

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We're going to have ambulances backed up to the Yin-Yang

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by the afternoon. It's going to be madness.

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It's already madness. "Yin-Yang"?

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Charlie, mate...

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..this is getting out of hand.

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We're doing everything we can.

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Right, I've got a 72-year-old male with a hip fracture.

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He's been waiting 45 minutes.

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And it's us that gets it in the neck when we breach response times.

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Hang on, it's not Charlie's fault, is it?

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Mate, get him on an ED bed. He's an ED patient

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and then get yourself back out there, please.

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-How's that going to help?

-We're all meant to be on the same side, here.

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So, how about we all start working together then, eh?

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-'Holby Control to 3006.'

-3006...

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I appreciate the sentiment, but I'll fight my own battles,

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if you don't mind.

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Are you crying? What's the matter?

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I don't know if I want to do this.

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Oh, God!

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-We said we wanted to travel.

-Together.

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-And we're going to be back together.

-In August.

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I just don't know why we can't just travel together,

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like normal couples do.

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We can't keep having this conversation

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because that's NOT what we decided.

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We haven't known anything else, just each other,

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not since we were 15.

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It'll be good, for both of us.

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Get out, see the world, see what's out there.

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-Who's out there, more like?

-It's not that. You know it's not.

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Yes.

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This mattress should make you a bit more comfortable

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until we can get that bed sorted.

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I suppose a gob of tea's out of the question?

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I'd rather keep Flossy nil-by-mouth until we know more.

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I wasn't talking about her.

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I'll see what I can do.

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-SHE COUGHS

-You all right, Flo? All right.

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She does struggle for breath, sometimes.

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OK. Can I just have a listen?

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FLOSSY COUGHS

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You've had heart surgery?

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They gave me a new one.

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That would've been useful to know.

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We're going back years, now. Decades.

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That's how we know each other.

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Me and Mo, that's how we met.

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Her son saved my life.

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Gosh, how did he do that?

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Michael was a donor.

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He saved my life.

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Right.

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Michael died. Too young.

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Flossy was the recipient.

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Then Flo gave a talk three years later about her transplant.

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And I knew.

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I knew it was my boy's heart.

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Michael never died,

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not really.

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Dr Hardy?

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Excuse me.

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Rita says there's a free bay in minors.

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Well, it's not ideal, but it'll have to do.

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CAR HORN SOUNDS

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Lee.

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TYRES SCREECH

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CRASHING

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Oh, no...

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Ben. How did it go?

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Do you know that for certain or are you just guessing?

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I'm just a cog, aren't I?

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I'm not band-six material.

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I'm just a cog in a machine.

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And a pretty inconsequential one at that.

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-I'll go and fetch your prescription, then you're free to go.

-Thank you.

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-Dylan?

-Yeah.

-Can you help with a shoulder dislocation?

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Currently located in the corridor.

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-We're backing up in corridors, are we, now?

-Yeah.

-All hail the NHS(!)

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How did Ben do?

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Would it be appropriate for me to comment?

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No, but he's a solid candidate, isn't he?

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He gave a good interview. That's all I can say.

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CLATTERING

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Lee, wake up. Lee?

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They're saying, don't move,

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don't move, don't move.

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That's petrol. We need to get out!

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We need to get out. Help me out, please.

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HE GRUNTS

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Argh, my leg, my leg!

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I can't move my leg!

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We need help!

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Please, don't leave us!

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Please, help me out. Help me!

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Help him out, help him out. Please!

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Please don't leave us, please.

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Lee! Lee! Lee!

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LEE GROANS

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Hi. How's the tea?

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Fair play, it's bogging.

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She's being polite.

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I have the X-ray back and it confirms a large GI obstruction.

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It's not good news, I'm afraid.

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Essentially, the gut is being starved of oxygen, and it's dying.

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Right, now we know. How do we fix it?

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It will require major surgery.

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-No.

-What do you mean, no?

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It's enough. I can't survive another operation.

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I haven't got it in me.

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Come on, Doc. That's not true, is it? Plenty of fight in her.

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I'll call the surgeon down.

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They'll be able to talk through the options with you.

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-I said, "No".

-Flo, please?

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Doc, tell her!

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I'm going to be completely honest with you.

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Given your age and other health complications...

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..your chances of surviving the operation are very slim.

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I don't want to talk to the surgeon.

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I've been very lucky in my life.

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I sent my father and brother off to the war

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and they both came back to me.

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Not many people can say that?

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I was given a second chance in my life.

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And I didn't waste it. I've lived.

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It's like they say.

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Everybody wants to go to Heaven and nobody wants to die.

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Flossy, I can't lose you. I haven't got no-one else.

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It's time, my love.

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Now, what do we do now?

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Well, normally we transfer you to one of the wards upstairs,

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give you pain relief, make you comfortable.

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What do you mean, "normally"?

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The wards are full. We're still trying to find Flossy a bed...

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Excuse me, can you get out, please?

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-So, this is how it's going to end? Like this?

-I am so sorry.

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Please, Doc, I'm begging you! Give us some dignity.

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Is everything all right, Ethan?

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No, I have an 82-year-old woman who is hours from death

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in a cubicle bed, without any hope of dignity or privacy.

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Right, I know this situation is far from ideal.

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We are trying to talk to the wards.

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This woman has lived through the war.

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She's a good woman and, what? It ends like this?

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Are we going to let that happen?

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I mean, in 2016, in Britain, in this hospital,

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are we really going to let that happen?

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I've just had word from the Trust.

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St James's are closing their doors to all admissions.

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They're diverting to us.

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OK, take a big deep breath for me.

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Right, Lee, we're going to get you out of here sharpish.

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-Strong smell of petrol, Iain.

-Yes.

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All right, lovely. Let's get you on to the stretcher.

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Nice and gently, please, boys.

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-Just having a feel down your body.

-There we, go good man.

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-There you are, son.

-Dixie?

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Right, we've got another one trapped in the car

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and a punctured fuel tank. Think he's got a tension pneumothorax.

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-You want to do that here?

-No.

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-All right, back of the ambulance?

-Yes, please.

0:21:250:21:27

Right, you're doing really well, Sarah.

0:21:270:21:29

We're going to get you out of here as soon as possible.

0:21:290:21:31

Get me out of here.

0:21:310:21:33

Neck is stable, no pain,

0:21:330:21:35

shoulders and legs.

0:21:350:21:37

Darling, we think you've got a collapsed lung,

0:21:370:21:40

but we're going to do something about it, OK?

0:21:400:21:43

Right, Lee, stay nice and still for me, love.

0:21:440:21:48

Here we go.

0:21:480:21:49

Good man.

0:21:490:21:51

Fancy bumping into you, eh?

0:22:000:22:02

Right, let's have her out as quick as we can, please.

0:22:050:22:08

-Get me out, please.

-Nice and gently, please.

0:22:080:22:10

No, we're going to have to pull her. This thing will go any second.

0:22:100:22:13

-No, no, my leg!

-She's stuck.

0:22:130:22:16

Right, pull. Pull! Pull!

0:22:170:22:20

Go, go, go! Let's get her out of here.

0:22:200:22:23

LOUD EXPLOSION

0:22:270:22:29

FIRE ROARS

0:22:290:22:32

I've got a right to a bed.

0:22:390:22:41

Sir, I will call security and have you removed.

0:22:410:22:43

Hey...is everything all right?

0:22:430:22:46

-I'm being refused treatment.

-I'm not refusing you treatment.

0:22:460:22:49

You haven't been triaged yet, so you need to wait in reception.

0:22:490:22:52

You're a very rude young woman.

0:22:520:22:54

OK. Hi. I'm Ethan Hardy. I'm a registrar. How can I help?

0:22:540:22:57

"How can I help?" He asks. That some sort of joke?

0:22:570:23:00

Do your job! How about that?

0:23:000:23:03

This is Peter Jennings,

0:23:030:23:04

he presented to us with a pain in his right ankle, but he hasn't

0:23:040:23:07

been triaged yet and is refusing to move back into the waiting area.

0:23:070:23:10

It's my ankle, my throat, everything.

0:23:100:23:12

I've a right to see a doctor. I pay my taxes.

0:23:120:23:14

OK, sir, there are a lot of very, sick people here.

0:23:140:23:20

Yeah, I'm sick.

0:23:200:23:21

Right, where's the pain exactly?

0:23:210:23:23

Are you deaf? I just said, "Everywhere".

0:23:230:23:26

I had to call an ambulance to pick me up.

0:23:260:23:29

Sorry, you called an ambulance?

0:23:290:23:30

Too right I did.

0:23:300:23:32

Do you know what?

0:23:320:23:34

-We are dealing with an unprecedented crisis...

-Ethan.

0:23:340:23:37

No, wait. You called an ambulance

0:23:370:23:39

for what is probably a sprained ankle?

0:23:390:23:41

-Ethan, calm down, mate.

-You can't talk to me like that.

0:23:410:23:44

Ethan. Walk away. Just walk away.

0:23:440:23:46

Who's in charge, here?!

0:23:460:23:47

I won't be spoken to like this!

0:23:470:23:49

Sir, you need to wait in reception, OK?

0:23:490:23:52

I've got a mate who is a very good therapist.

0:23:570:23:59

Why don't I ask him to have a word with your brother?

0:23:590:24:02

I didn't tell him.

0:24:040:24:05

Look at him. He's stressed out enough as it is.

0:24:050:24:09

The last thing we need is some stupid counsellor getting involved.

0:24:090:24:13

So, just leave it, all right, Charlie.

0:24:130:24:15

You can't fix everyone. So, stop trying.

0:24:150:24:17

St James's have already closed their doors.

0:24:200:24:23

If we follow suit, what sort of message does that send out?

0:24:230:24:25

With all due respect, Henry, this isn't about PR,

0:24:250:24:28

this is about maintaining patient safety.

0:24:280:24:30

-I'm afraid, I don't accept it.

-We're at breaking point.

0:24:300:24:33

Yet, we're not broken.

0:24:330:24:34

A little Blitz spirit, that's what's called for here.

0:24:340:24:37

Don't.

0:24:370:24:38

Now, you either take a seat and wait to be seen or you leave, OK?

0:24:410:24:44

You lot ought to be ashamed of yourselves.

0:24:440:24:47

What are you doing?

0:24:470:24:48

Putting this online, so everyone can see

0:24:480:24:50

what the so-called NHS has become.

0:24:500:24:52

Can you get that camera out of my face please, Sir?

0:24:520:24:55

-Excuse me, put the phone down.

-With all due respect, go away.

0:24:550:24:58

Yeah! Go away! Thank you!

0:24:580:25:00

-Come with me, sir.

-Get your hands off me!

0:25:000:25:02

-Come on.

-I am... I am!

-Hey, hey!

0:25:020:25:04

-Watch it. Don't push me.

-Calm down.

-MAN YELLS

0:25:040:25:07

Back off!

0:25:070:25:08

GLASS SMASHES AND PEOPLE SCREAM

0:25:080:25:12

-Stop.

-Call the police.

-Hey!

0:25:120:25:13

Police, please.

0:25:160:25:18

PHONE RINGS

0:25:180:25:20

We could have waited for a porter, but this is quicker.

0:25:210:25:24

This should be a lot quieter for you.

0:25:240:25:25

-No sheep?

-No sheep.

0:25:250:25:27

We'll get some more pain relief on board, get you comfortable.

0:25:270:25:30

-Ethan, wasn't it?

-Yes.

0:25:300:25:33

Thank you, Doctor.

0:25:330:25:34

You're a good man.

0:25:360:25:37

Sorry, Dr Hardy, I've just had a message that

0:25:390:25:41

you're needed in Resus - major RTC on the way.

0:25:410:25:45

HE SIGHS

0:25:450:25:46

I'm fine, honestly.

0:25:510:25:53

Just get me extra security, now. Thank you.

0:25:530:25:55

No, Mrs Beauchamp, please don't look at me like that.

0:25:560:25:59

Closing is not an option.

0:25:590:26:01

Well, I may have another solution.

0:26:010:26:02

We request tents from the ambulance service -

0:26:020:26:05

put up a triage outside,

0:26:050:26:07

like a field hospital.

0:26:070:26:08

-Out of the question.

-Well, it would give us some relief.

0:26:080:26:11

The press would enjoy it, wouldn't they?

0:26:110:26:13

And who do you propose would run this "field hospital"?

0:26:130:26:16

Me.

0:26:160:26:17

You should go home.

0:26:170:26:18

You look like you've slept with Edward Scissorhands.

0:26:180:26:21

It's just a few cuts.

0:26:210:26:22

I can do it.

0:26:220:26:24

OK, everyone, on my count of three.

0:26:260:26:28

One, two, three.

0:26:280:26:30

OK, I'm doing a full primary survey.

0:26:320:26:34

OK, Robyn, let's cut the clothes.

0:26:340:26:37

MACHINE BEEPS

0:26:380:26:41

OK, sats aren't picking up.

0:26:410:26:42

She's tachycardic at 120 and her pulse is weak.

0:26:420:26:45

Why's she deteriorating so quickly?

0:26:450:26:47

She was conscious and alert at the scene.

0:26:500:26:54

OK, Sarah, what is going on?

0:26:540:26:56

The Ambulance Service are bringing over the beds as we speak.

0:26:570:27:00

Right, see if you can get some portable screens from somewhere.

0:27:000:27:04

Are you sure you're up to this?

0:27:040:27:05

Absolutely. I've been liaising with Sister Freeman.

0:27:050:27:08

The plan is to relocate triage out here,

0:27:080:27:09

so we can drop off the ambulances to us,

0:27:090:27:12

and save you guys some breathing space inside.

0:27:120:27:14

If we all muck in together, we can do it.

0:27:140:27:17

Let's hope we do.

0:27:170:27:20

SIREN WAILS

0:27:200:27:22

-You could have died.

-I'm a cat with nine lives, me.

0:27:290:27:32

Jeff used to say that.

0:27:320:27:34

Dixie...

0:27:340:27:35

I just wanted to tell you both, that was pretty impressive out there.

0:27:350:27:38

Yeah, well, they don't call me a legend for nothing.

0:27:380:27:41

Nobody calls you that.

0:27:410:27:43

No.

0:27:430:27:44

Did you get my flowers?

0:27:480:27:50

Yeah, I did.

0:27:500:27:51

They were a thank you and a... and a sorry at the same time.

0:27:510:27:55

And I dropped the complaint, did you hear?

0:27:580:28:00

Yeah, you dropped the complaint,

0:28:000:28:02

but they're still going ahead with the investigation.

0:28:020:28:05

I had a call this morning.

0:28:050:28:07

Oh, right, well, would it help if I got in touch with them again?

0:28:070:28:10

No. I'm not sure it would.

0:28:100:28:12

Well, could I... do you fancy going for a drink?

0:28:140:28:18

Like a thank you, and a sorry and a sorry again?

0:28:180:28:22

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

0:28:240:28:26

'Holby Control to 3006...'

0:28:260:28:28

3006, receiving.

0:28:310:28:33

Yeah, the X-rays confirm that you have fractured a number of ribs.

0:28:340:28:38

Now, there's nothing we can do for those,

0:28:380:28:40

but if you are struggling, we can give you some pain relief.

0:28:400:28:43

When can I see Sarah?

0:28:430:28:44

As soon as we know anything, we'll let you know.

0:28:440:28:46

If he needs it, 5mg of morphine.

0:28:460:28:48

OK.

0:28:480:28:49

Do you know, I travelled around Europe when I was younger,

0:28:510:28:55

on the trains, you know?

0:28:550:28:57

Me and my girlfriend back then.

0:28:570:28:59

If you have travel insurance, you could make a claim and...

0:28:590:29:02

We weren't going to be travelling together.

0:29:020:29:05

Oh, yeah?

0:29:050:29:07

We decided...

0:29:070:29:08

I decided...

0:29:100:29:11

that we should go our separate ways and meet up at the end.

0:29:110:29:15

OK,

0:29:170:29:19

but why would you do that?

0:29:190:29:21

Yeah, you're right.

0:29:230:29:25

It's none of my business.

0:29:250:29:27

Just, how do you know if you're with the person

0:29:270:29:30

you're meant to spend the rest of your life with?

0:29:300:29:32

How do you know...?

0:29:320:29:34

That there's not someone better waiting around the corner?

0:29:340:29:37

Maybe.

0:29:400:29:42

I mean, I'm not naive enough to believe in soul mates or...

0:29:440:29:49

that there's only person for each of us on this planet,

0:29:490:29:53

but when you find someone that you think might be the one,

0:29:530:29:59

chances are, if you ask me...

0:29:590:30:00

..they are.

0:30:020:30:04

I need to see Sarah.

0:30:060:30:08

She won't want to be on her own.

0:30:080:30:10

Please, I need to be with her.

0:30:100:30:13

A tent?

0:30:200:30:21

I haven't been camping since the three-day week,

0:30:210:30:23

I don't intend starting again now.

0:30:230:30:25

Take it or leave it.

0:30:250:30:27

I need all patients awaiting triage over here, please.

0:30:270:30:29

Room for one more?

0:30:290:30:32

Bay five - all yours.

0:30:320:30:33

HE COUGHS

0:30:330:30:36

You're burning up.

0:30:380:30:40

OK, that's the third unit of the 0-neg.

0:30:460:30:48

How are we doing on the cross match?

0:30:480:30:49

Lab say another five minutes.

0:30:490:30:51

-I can stick up the last 0-neg and saline.

-Yeah.

0:30:510:30:54

OK, buddy, I'll park you over here, all right?

0:30:540:30:56

-Sarah?

-Keep an eye on the pulse, please.

0:30:560:30:58

What are you doing? He can't be here, we're overcrowded.

0:30:580:31:01

Look, I know, but that's the boyfriend.

0:31:010:31:03

-He needs to be here.

-Ah...

0:31:030:31:05

They need each other.

0:31:050:31:07

That's odd, she was tachycardic at 120 a minute ago.

0:31:070:31:10

-It's dropping.

-MACHINE BEEPS

0:31:100:31:13

OK, she's going to arrest.

0:31:130:31:14

Can I get 600 micrograms of atropine, please? I'm going to start CPR.

0:31:140:31:17

-What's happening?

-Right, he really does need to get out, now.

0:31:170:31:20

No, I'm staying. Please.

0:31:200:31:22

Come on, Sarah, stay with us. BEEPING CONTINUES

0:31:220:31:24

So, this was all your doing, then?

0:31:280:31:30

Well, it was Mrs Beauchamp's idea,

0:31:300:31:31

but I volunteered to run it and staff it and...

0:31:310:31:34

-Yeah, pretty much, my doing.

-Good work.

0:31:340:31:36

-I bring you the huddled masses.

-SIREN WAILS

0:31:360:31:38

Bay four, please, Max.

0:31:380:31:40

HE GRUNTS

0:31:430:31:45

Really?

0:31:460:31:48

"Our most significant opportunities will be found

0:31:480:31:50

"at times of greatest difficulty." Thomas...

0:31:500:31:53

Monson, I know. Listen, I need to ask you something.

0:31:530:31:56

-Jordan?

-Sorry?

0:31:560:31:57

Who is he?

0:31:570:31:59

I have no idea what you're talking about.

0:31:590:32:01

Nick Jordan. He used to work here or something?

0:32:010:32:03

-Zoe knows him.

-Ah, right, Nick Jordan, yes.

0:32:030:32:06

Well, he was a bit of a legend round here. Top bloke.

0:32:060:32:09

Why?

0:32:090:32:10

Erm, no, no reason. It's...

0:32:100:32:12

Hmm.

0:32:120:32:13

It sounds like a... A hacking cough.

0:32:140:32:17

How much pain are you in on a scale of one to ten?

0:32:170:32:19

11.

0:32:190:32:21

37.4. What other symptoms?

0:32:220:32:25

Headache, bunged up, hot and cold,

0:32:250:32:28

ankle - but that's a different thing.

0:32:280:32:31

You have the common cold and you've wasted my time.

0:32:310:32:34

Well, I want a second opinion.

0:32:340:32:36

That's not going to happen.

0:32:360:32:37

What's all that?

0:32:390:32:40

We're raising for an infuser - girls versus boys.

0:32:420:32:45

How is that going, then?

0:32:450:32:46

We're getting hammered.

0:32:460:32:48

Well, you know what you should do.

0:32:480:32:50

You should do one of those saucy calendars.

0:32:500:32:52

You could be Miss January - all frost and ice.

0:32:520:32:55

It's time for you to leave.

0:32:560:32:58

Yeah, I'm tweeting. Problem?

0:33:020:33:05

MACHINE CHIMES

0:33:080:33:10

-Have we got a pulse?

-Just.

0:33:120:33:14

Sarah, please, come on, wake up.

0:33:140:33:16

Wait. Sorry, what's that?

0:33:180:33:21

-It's a small puncture.

-We missed it?

0:33:240:33:26

Must have penetrated on impact and nicked the heart en route.

0:33:260:33:29

Have you done an echo?

0:33:290:33:31

Can I have the fast scan?

0:33:310:33:32

Chest X-ray showed a normal cardiac contour.

0:33:320:33:34

That was over an hour ago

0:33:340:33:35

and that doesn't exclude pericardial effusion causing cardiac tamponade.

0:33:350:33:39

HE SIGHS

0:33:390:33:41

OK.

0:33:410:33:42

Yeah, there, there, there.

0:33:450:33:47

Yeah, got it, and there's also a clot.

0:33:470:33:49

That's going to make pericardial drainage difficult.

0:33:490:33:52

No, no, no, no - we are not giving up.

0:33:520:33:53

Right, what do you suggest, hmm?

0:33:530:33:56

We open her up. We evacuate the haematoma by a clamshell thoracotomy.

0:33:560:34:00

That is not something I want to do here.

0:34:000:34:02

I know, but if we do this,

0:34:020:34:03

-there might be a chance. If we don't, she's dead.

-Please,

0:34:030:34:06

whatever you need to do, do it.

0:34:060:34:08

-Don't let her die. I'm begging you.

-MACHINE CHIMES

0:34:080:34:10

Please, Mrs Beauchamp, I can do this.

0:34:100:34:13

-Why are you still here?

-I think I'm dying.

0:34:210:34:24

You've got a cold. You've been seen by the doctor.

0:34:240:34:26

-We treated your sprained ankle.

-I pay my taxes - it's my right.

0:34:260:34:29

I pay my taxes, too, so spare a thought for me, here.

0:34:290:34:32

I pay my own wages.

0:34:320:34:33

Look, you called an ambulance to bring you in -

0:34:330:34:35

an ambulance that could have been out in the field

0:34:350:34:37

dealing with a life-threatening injury, and it wasn't,

0:34:370:34:40

-it was dealing with you.

-There's no reason I...

-No, I'm talking.

0:34:400:34:43

The NHS - it was founded to meet the needs of everyone.

0:34:430:34:46

It's free at the point of delivery

0:34:460:34:48

and it's based on clinical need, not ability to pay,

0:34:480:34:50

and it's people like you -

0:34:500:34:52

you're not only putting the service we offer in jeopardy -

0:34:520:34:55

you're putting lives at risk.

0:34:550:34:58

I'm sure you won't, but I really hope you think about that.

0:34:580:35:01

What?

0:35:050:35:07

You just got owned.

0:35:070:35:08

MACHINE CHIMES

0:35:130:35:16

Mayos, please.

0:35:280:35:29

(We're doing everything we can to make sure she's all right.)

0:35:290:35:32

OK, now, cut the sternum.

0:35:370:35:40

Yup.

0:35:400:35:41

Bone-crunchers.

0:35:410:35:43

MACHINE CHIMES

0:35:430:35:45

HE SOBS AND SNIFFS

0:35:470:35:49

OK, pulse check?

0:35:520:35:53

No. Nothing. Right, retract the ribs.

0:35:570:35:59

Robyn.

0:36:040:36:06

-MAN SOBS

-Please, let her be OK.

0:36:090:36:12

Please, let her be OK.

0:36:120:36:15

OK.

0:36:150:36:17

Once you've done that, remove the clot.

0:36:170:36:19

OK.

0:36:190:36:20

Scalpel and forceps, please.

0:36:200:36:22

MAN SNIFFS AND SOBS

0:36:250:36:28

MACHINE CHIMES

0:36:310:36:33

We've relieved the tamponade and there's still no pulse.

0:36:380:36:41

OK, begin internal cardiac massage, please.

0:36:410:36:43

(Best hands, all right? OK?)

0:36:430:36:45

MACHINE CHIMES

0:36:450:36:48

OK, stop a minute.

0:36:540:36:56

Let me see if there's spontaneous output.

0:36:560:36:58

No. Right, adrenaline, please.

0:37:020:37:03

Please, let her be OK.

0:37:030:37:06

-HE SNIFFS

-Please, let her be OK.

0:37:060:37:08

How's it going?

0:37:130:37:15

Well, we've still got ambulances backed up to the Yin-Yang,

0:37:150:37:17

-but we're getting there.

-"Yin-Yang"?

0:37:170:37:19

Don't ask.

0:37:190:37:21

Look, Charlie, about earlier, I'm sorry.

0:37:210:37:23

No hard feelings, yeah?

0:37:230:37:25

No, of course not, all in a day's work.

0:37:250:37:27

Life on the front line, eh?

0:37:270:37:28

You were at each other's throats earlier on.

0:37:320:37:34

Well, we're passionate people - passionate people sometimes clash.

0:37:340:37:38

I would rather work with Dixie and Iain,

0:37:380:37:40

who care about what they're doing, than with people who don't.

0:37:400:37:43

Simple as that.

0:37:430:37:44

Come on, Sarah.

0:37:500:37:52

The adrenaline should have kicked in by now.

0:37:530:37:55

All right, stop a moment.

0:37:550:37:57

There's a faint pulse.

0:38:050:38:08

-Really?

-Mm-hmm.

0:38:080:38:09

OK, let's pack the cavity with saline-soaked pads,

0:38:120:38:15

get it covered, and straight up to theatre, please.

0:38:150:38:17

-MAN EXHALES

-OK, she might be in with a shot.

0:38:170:38:20

You may very well have just have saved that woman's life.

0:38:240:38:27

Dr Hardy, you're a credit to this department.

0:38:270:38:30

Don't forget that.

0:38:300:38:32

Sorry, Dr Hardy, you're needed in HDC.

0:38:370:38:39

How's it going in here?

0:38:510:38:53

Yeah, good, I think.

0:38:530:38:54

How's it going in there?

0:38:540:38:55

Oh, you know, just a casual clamshell thoracotomy.

0:38:550:38:58

Wow.

0:38:580:39:00

The girl's on her way up to theatre now.

0:39:000:39:02

OK, Boss, what's next?

0:39:020:39:03

Can you have a go and check on the ambulances outside

0:39:030:39:06

-and see what needs off-loading?

-Okey dokey.

0:39:060:39:08

Oh, and Mac, when you get the chance, can you take those down?

0:39:080:39:10

-Not appropriate.

-Right you are.

0:39:100:39:13

What?

0:39:160:39:17

What? Nothing.

0:39:170:39:18

I told you so.

0:39:210:39:22

Sorry about earlier.

0:39:320:39:33

I know you were only trying to help and, um...

0:39:410:39:43

Cal, it's not my life. Whatever you decide to do, that's up to you.

0:39:460:39:49

And what if I don't know what to do?

0:39:520:39:54

You know what I think?

0:39:570:39:59

I can't make the decision for you...

0:39:590:40:01

..and as you said,

0:40:030:40:05

I can't fix everyone.

0:40:050:40:07

-You guys cheated.

-How have we cheated? How have we cheated?

0:40:120:40:16

Because you used today to drum up extra cash.

0:40:160:40:18

All's fair in love and war.

0:40:180:40:20

Ah, Louise! Splutter McSplutterson asked me to give you this.

0:40:200:40:23

Who...?

0:40:230:40:24

Oh, some idiot guy from today.

0:40:240:40:26

Hang on, that's not for...

0:40:300:40:33

"I got owned.

0:40:330:40:34

"and I hope this goes some way to you guys owning that infuser.

0:40:340:40:39

"You've done a great job,

0:40:390:40:40

"especially when you have to deal with idiots like me."

0:40:400:40:44

That's exactly what it's for.

0:40:440:40:47

All's fair in love and war, boys.

0:40:470:40:49

We might finally have a bed for you up on the ward.

0:41:040:41:07

How long will she be in theatre?

0:41:090:41:11

Oh, a little while yet.

0:41:110:41:13

I'll need to take Sarah's possessions to ITU.

0:41:130:41:15

I got her this for her birthday.

0:41:170:41:18

"Make it count. Meet me at the clock in August."

0:41:220:41:26

It's from Titanic.

0:41:270:41:29

It's her favourite film.

0:41:300:41:32

When's her birthday?

0:41:330:41:34

Next month.

0:41:340:41:36

And you were going to be apart, right?

0:41:360:41:39

And now?

0:41:420:41:44

I'd give anything to never have to leave her side again.

0:41:470:41:50

Well, despite scenes I'd hoped to avoid,

0:41:550:41:58

you made the right call today, Mrs Beauchamp.

0:41:580:42:00

Well, we're not out of the woods yet.

0:42:000:42:02

We still have ambulances backed up and very few beds available.

0:42:020:42:05

But we're in with a shot.

0:42:050:42:07

Congratulations.

0:42:080:42:10

SHE BREATHES DEEPLY

0:42:200:42:22

MACHINE BEEPS

0:42:220:42:24

You've loved and you've been loved.

0:42:240:42:27

Please, don't be scared.

0:42:270:42:29

SHE BREATHES DEEPLY

0:42:290:42:31

Come in, Doc.

0:42:360:42:38

I'm here, Flossy.

0:42:420:42:43

I'm here.

0:42:430:42:44

MACHINE BEEPS

0:42:440:42:47

SHE BREATHES DEEPLY

0:42:490:42:51

SHE EXHALES

0:42:580:43:01

SHE INHALES

0:43:010:43:03

SHE EXHALES, HEARTBEATS THUD

0:43:060:43:08

MACHINE BEEPS

0:43:080:43:11

HEAVY BREATHING CONTINUES

0:43:160:43:19

SIREN WAILS

0:43:220:43:25

HEAVY BREATHING CONTINUES

0:43:330:43:37

BEEPING SLOWS DOWN

0:43:370:43:40

SHE EXHALES

0:43:430:43:46

BREATHING STOPS

0:43:460:43:48

BEEPING SLOWS

0:43:480:43:51

-KNOCK AT DOOR

-Yep?

0:44:270:44:30

Gin in a tin?

0:44:320:44:34

I know you said you didn't want to go out for a drink,

0:44:350:44:38

but you didn't say anything about staying in for a drink.

0:44:380:44:41

It's two and half shots.

0:44:410:44:42

Go on, then.

0:44:450:44:47

It's been a gin-in-a-tin kind of day.

0:44:470:44:50

-Cheers.

-Cheers.

0:44:530:44:55

What are you doing?

0:44:590:45:01

I don't know.

0:45:030:45:04

No.

0:45:110:45:13

No, I can't do this, Jess.

0:45:140:45:16

You're going to have to leave.

0:45:170:45:18

Hey.

0:45:350:45:36

Erm, have you seen Cal?

0:45:380:45:39

No, sorry.

0:45:390:45:41

Are you all right?

0:45:430:45:45

Some idiot...had a fight with a bus.

0:45:460:45:49

We tried to resuscitate him but he was basically DOA.

0:45:490:45:53

HE SIGHS

0:45:530:45:55

I'm sorry.

0:45:570:45:58

Look,

0:46:020:46:04

earlier you said that you were the pariah of the department.

0:46:040:46:08

Am I not?

0:46:090:46:11

Not to me.

0:46:110:46:12

PHONE KEYPAD BEEPS

0:46:230:46:26

PHONE BEEPS

0:46:320:46:35

Lofty, your shift ended hours ago.

0:47:060:47:10

-Well, you haven't left either.

-No. Can I have a quick word?

0:47:100:47:14

Right, I had one reservation...

0:47:190:47:20

Right?

0:47:200:47:22

Could you step up and lead?

0:47:220:47:25

And looking around,

0:47:250:47:27

I can say you more than answered that. Congratulations.

0:47:270:47:30

Congratulations?

0:47:300:47:32

I made up my mind this morning, and the panel all agreed -

0:47:320:47:36

the job is yours, if you want it.

0:47:360:47:38

Really?

0:47:380:47:40

Yeah. Now, don't let me down.

0:47:400:47:41

Go home, and keep those cuts clean, right?

0:47:410:47:44

Right!

0:47:470:47:48

Did you hear that?

0:47:500:47:52

-Yes, of course I did.

-Thank you...

0:47:520:47:55

..for everything.

0:47:560:47:57

I owe you a big drink.

0:48:020:48:04

Well, yeah, not really my thing.

0:48:040:48:06

-Of course not. I must remember that, now I'm band six.

-Yeah.

0:48:070:48:10

-Another hug?

-No.

0:48:100:48:12

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