Chain Reaction Casualty


Chain Reaction

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Transcript


LineFromTo

This is our new Band 5 nurse, David Hide. I love you.

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Yeah.

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It's the department that worries me.

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I'd like to think you would let me know if things don't feel right.

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This baby, it's a second chance.

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If you'd been half-normal I might have stayed,

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but you weren't.

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This baby isn't going to be anything like you.

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-If this is goodbye...

-Not if.

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No, I can't see a thing.

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He's losing so much blood

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he's going to go into hypovolemic shock in a minute.

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Right, suction.

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OK. OK. I've got it. I've got it.

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-It's a brachial artery.

-Oh, nice spot.

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OK.

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There we go.

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Right, 2-0 Vicryl.

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PHONE RINGS

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Who let the amateur through the door?

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PHONE RINGS

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Turn it off, will you?

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I don't bite.

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Woof!

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Oh, come on, Dave. It was a joke.

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-You all right?

-Yeah. You?

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-Mm-hm. How's it going?

-Not bad at all.

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Would you like to come and see me later?

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Yeah, I'll come and find you, yeah?

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Listen to me, we can sort this out.

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All this fuss over nothing.

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How many years have we done business together?

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It's never happened before, has it?

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So, please, none of this changing-supplier talk.

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I sent you the figures.

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OK.

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Get back to me.

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Please.

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You'll find a way, Baba.

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Just like your mother.

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KNOCK ON DOOR

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-Rosa, when's your break?

-Er...

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-Me and Dad have got stuff to sort out.

-No, no, no.

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Go. Go.

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Do young-people things.

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PHONE BLEEPS

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-Hey, Mac, how'd it go?

-What?

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Narcotics Anonymous.

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Easy, tiger. The clue's in the name - you know, anonymous.

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Sorry. You made any new mates yet?

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Loads, but they're also anonymous.

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I'm chuffed for you.

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Hey, I'm cheering you on.

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And I appreciate it.

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-Look, I'll catch up with you in a bit, yeah?

-All right.

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Hey, Noel. What's all this about a new consultant?

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Come on, man. That's the last thing we need.

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I mean, this place has already got too many chiefs for my liking.

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Don't go on like you don't agree.

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We all know that nurses run this place, right?

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What?

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Is there a problem?

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What are you saying?

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Nah, what are you saying?

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-Yo!

-You're an idiot!

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Now, hold on! Hold on!

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-When did you put on all this weight, Pancake?

-Oh, I don't know.

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About the same time you started dying your hair!

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And I think you'll find it's Dr Gardner to you.

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No, no, no. You see, to me, you will always be Pancake.

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Not unless you want these lovely people to know what we called you

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back in the day. Yeah...

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I, erm...

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I didn't know you knew each other.

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Yeah, man! Me and Elle grew up together.

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Yeah, a long time ago.

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-Remember that school camping trip?

-Oh, don't!

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I still don't go near a canoe!

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Erm, Mrs Beauchamp, I've got a woman in cubicles,

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46 years old, ten weeks pregnant, hyperemetic.

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Oh, er, would you mind if I take it?

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-Be my guest.

-Thank you.

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Well, I'll see you soon.

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Elle, man! She's the best.

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Don't.

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We know you've been through a rough patch recently,

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but the wages were late again.

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By one day.

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Yeah, but the lads have got families,

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rent to pay.

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And with all the lay-offs...

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Tell them it won't happen again.

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Right.

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You need a holiday.

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I need an assistant.

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And some heels.

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Well, I'm here if you want to talk.

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Seems like I haven't seen you in ages.

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Come to ours for dinner.

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No, I mean just you.

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Something that's just about us.

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Rosa?

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Don't! Rosa!

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Didn't even let the grass grow, did he?

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Zoe hasn't even touched down yet.

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She's touched down, all right. She's firing off e-mails already.

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Max! Crash and burn! You're out of practice.

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And you just waved your wife goodbye.

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Zoe and I agreed on a fresh start and I'll be fine.

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Typical, isn't it? She goes swanning off into the sunset,

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leaves us to pick up the pieces.

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Oi-oi-oi!

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Everybody out!

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Have you seen my dad?

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Get here as soon as you can!

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Move! Move!

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Dad!

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Dad!

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Dad!

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Acid in the feeder tank!

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-Get him out!

-Rosa!

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Rosa!

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Rosa!

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I mean, a penalty last minute. Couldn't believe it.

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I know, mate. I mean, what is a handball these days?

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PHONE BEEPS

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Who's that?

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Oh, what!

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That's twice in the last half-hour.

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She's getting a bit full-on lately.

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What? She can't take a hint?

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Well, that's just it.

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I think I might have hinted in the wrong direction.

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Don't tell me you dropped the L-bomb.

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Oh, no! Mate!

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-I know.

-What!

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-Once you do that, there is no going back!

-I know!

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-RADIO:

-'Holby Control to 3006.

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'Update on your availability.

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'Reports coming in of a fire.

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'Chemical factory on Aldridge Way.'

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3006, all received and responding. Over.

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Hit the gas,

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Mr Freeman.

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MUSIC PLAYS

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MUSIC PLAYS

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Rosa!

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Rosa!

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Rosa! Where are you?

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HE SCREAMS

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THEY COUGH

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I have to make sure no-one is hurt.

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You're not going anywhere.

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What happened?

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Why were you at the reactor?

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You need to find out what happened to Philip.

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SHE SCREAMS

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Dr Gardner.

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Henrik.

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-Settling in nicely?

-Off to a flying start,

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now that I've got my broom out and swept the cobwebs away.

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This department possesses the iron fist

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but has often lacked the velvet glove.

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Well, I'm happy to oblige.

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Velvet's my style.

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Any problems, you know where to find me.

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Thank you, Henrik.

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What just happened?

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Zip it. One wrong word and it'll be...

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Don't. With a gob like mine,

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I'm going to be lucky to have a job next week.

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That's a good girl.

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SHOUTING

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Brian, I can't be late!

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-You promised.

-Oh, wind your neck in. It's only the paper.

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You might get her away if you give her a bottle. Here you go.

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Come on, come with me.

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Now, don't get annoyed, but I've spoken to the Lion

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-about booking the function room.

-Why? We can't afford it.

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We can if we're careful. We've got that little bit from my mum so...

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I knew that money came with strings.

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She wants to see her granddaughter christened.

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It's not unreasonable, is it?

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-Wish me luck.

-You don't need it. This job's in the bag.

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HE GASPS FOR AIR

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Oh, Max.

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Is it Maximilian?

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It's a good strong name, isn't it? Holy Roman Emperor, great leader.

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It's just Max.

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So, young, free and single, then - is that what the kids say?

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Not that I'm not loving your small talk, but I should get off.

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I know from personal experience that when somebody leaves you

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you've got to move on. Courage, as I believe the French...

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It was mutual, OK?

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So spread the word, because these sympathetic looks

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might tip me over the edge.

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Hey, can I have a quick word?

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Well, he seems fine, doesn't he?

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So, how are the boys, man?

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Carl nearly set fire to the kitchen this morning.

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He left a sieve on the gas ring.

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-What?

-I know, I know.

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And you, Pudding?

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It's been busy around here.

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Yeah, well, you know, never a dull moment in the ED.

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You get shot, nurse leaves under a cloud, some drugs go walkabout.

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Oh, hello! OK, I see the grapevine's been putting in overtime.

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Oh, come on, Connie Beauchamp's ED is the talk of the town.

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So who you been talking to? Or need I ask?

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I know you've got friends in high places.

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Wow, that didn't take long.

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Yeah, well, you know, the grapevine's a two-way thing.

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Oh, and, for the record,

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Connie's a good boss and a great doctor.

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You've got the hots for the ice queen!

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Don't know what you're talking about.

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Nah, come on, she's well out of my league, man!

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Don't you walk away from me!

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We've got casualties coming in from a fire.

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-I'll prep resus. Are you OK to attend to minors?

-Sure.

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-Oh, you with me, Dave?

-It's...

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Hey, hey, my bark's much worse than my bite.

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Actually, I'll need David with me.

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OK, Dave.

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You not having a problem with the doctors, are you?

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No.

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No, just...

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Just a bit of fun.

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Right, well, just remember it's the nurses who keep this place running.

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-Charlie.

-Can you prep resus?

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Right, let's get you booked in.

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All right, Dave?

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Got a sure-fire tip today!

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Oh!

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Oh!

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HE GASPS FOR AIR

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BABY CRIES

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Yes!

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It's all right, sweetheart!

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Daddy's here!

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Saeed Sarwar. 63. At 12:20, he was knocked to the floor

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by a chemical factory explosion. KO-ed for 30 seconds.

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He sustained a left-sided chest injury, burns to both of his hands

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and a minor abrasion to the forehead. GCS 15.

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BP 118/80.

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Pulse 90. Resps 22.

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Sats 97% after O2 therapy and 10 milligrams of morphine.

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-Boom.

-Rosa?

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I'm here, Dad. You're safe now.

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-Is he on any medication?

-Warfarin, four milligrams.

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He had a clot on the lung a couple of years ago.

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Warfarin!

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Philip Mayhew. He was with me at the factory.

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Do you know where he is?

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David, Philip Mayhew?

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Any ideas?

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I'll...go and see.

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BABY CRIES

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HE COUGHS AND SPLUTTERS

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HE GASPS AND PANTS

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BABY CRIES

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It's all right. It's all right, darling.

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Daddy's coming.

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BABY CONTINUES TO CRY

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Ah, sorry, darling. Sorry, sorry, sorry.

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Did you say you're sore on the left side?

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Mm.

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I can't... I can't breathe.

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Pulse is 100.

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BP's a bit low - 111/50.

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Sats 96.

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Signs of respiratory distress.

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-HE CRIES OUT

-Tenderness over the chest wall.

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I can feel some crepitus. Could be a fractured rib.

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Partial thickness burns on arms and hands.

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-Best keep the gel dressings on for now.

-OK.

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Let's order a chest X-ray, please, and take some bloods.

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FBC, U&Es, INR, group and save and a carboxyhemoglobin.

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Let's do a FAST scan as well.

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-Rule out any intra-abdominal trauma.

-Of course.

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Philip Mayhew...

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Tell me he's here.

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This way, guys.

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Just down the bottom of these steps.

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OK, nice and steady on the steps, please, Jez.

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-Can you take the head?

-OK.

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Hello, mate? My name's Iain. This is Jez.

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Phil.

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My name is Phil.

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Yeah, we know all about you. Rosa, is it?

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She's been a bit worried about you.

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Is she OK? Is everyone out?

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Life one. Death nil.

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And it's going to stay that way, OK?

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Right, hold his leg nice and still, please.

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-Bear with us, Phil.

-Fractured femur, by the looks of it.

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Let's get him started on ten of morphine,

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see if we can get a splint on.

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HE CRIES OUT

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All right, mate. All right.

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All right, morphine's not going to cut it.

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We'll have to get a doc out here.

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3006 to Control, over.

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OK, shall we get this gentleman gowned up

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and start him on 15 litres of oxygen via a non-rebreather mask, OK?

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OK, I deduce from that somewhat sheepish expression

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that I've got bad news coming along, have I?

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Brian Carroll.

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He's in cubicles with his daughter - your sister.

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Yeah, OK.

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Thanks, Louise.

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Rita thinks you might want to steer clear.

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Yeah, I think that's best for everyone.

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What happened to cou-rage and putting the past behind us?

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-Max!

-I'm just saying. It's easy to give advice, but...

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OK. OK, fine.

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Shall we put the world's most expensive therapy to the test, then?

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-Are you sure?

-Yeah.

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Want to come?

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I think you'll find I'm more than a match for that man.

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I tried to stop it.

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It was too late.

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Baba...

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..but how did it start?

0:18:350:18:37

How should I know?

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I know the factory is in trouble.

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Please, tell me you didn't do anything stupid.

0:18:450:18:47

You silly girl!

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I've told you everything I know.

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Now, leave me alone!

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You're hurting me!

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Someone will dress your burns once we've done the chest X-ray.

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Is everything OK?

0:18:590:19:01

She needs to stop pestering me.

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No wonder I can't think straight.

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Get out.

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Get her out.

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Maybe give him a little space. There's a coffee shop in reception.

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BABY CRIES

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Oh, dear, oh, dear...

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No. No, no. Get me someone else.

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It's not ideal for me, either, you know?

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-Well, just be quick about it, I've got places to be.

-Really?

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Urgent appointment with daytime television, is it?

0:19:310:19:34

Just keep chipping away, Dilly. I've got a thick skin.

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Thicker than yours, at any rate.

0:19:360:19:38

OK, would you mind if I have a quick look please, Louise?

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HE CLEARS HIS THROAT

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I, erm...

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I locked Rihanna in the car. So I had to smash the window.

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OK, let's get that irrigated and we'll send him off for an X-ray.

0:19:490:19:53

Oh, Max, would you mind looking after, erm...

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Yeah, her name's Rihanna.

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Well, it's not my choice, but she's a bit of a hero of Hazel's.

0:19:590:20:02

The singer. She sings Umbrella.

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# Ella, ella, hey, hey... #

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I don't know what you are talking about.

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There you go.

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You know...I'm a porter, not a baby-sitter.

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Just think of it as two birds with one stone. The ladies will love it.

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What's happening? Good?

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HE CLEARS HIS THROAT

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# Is it me you're looking for? #

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Yes.

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No, no, no.

0:20:480:20:50

I mean, yes, yes.

0:20:500:20:52

They need a doctor at the scene to extract Philip Mayhew.

0:20:520:20:55

They've found him?

0:20:550:20:56

Well, it doesn't sound good. Fractured femur.

0:20:560:20:58

Grossly displaced. Falling BP.

0:20:580:21:00

What does that mean?

0:21:000:21:03

How bad?

0:21:030:21:04

Is he all right?

0:21:040:21:06

Listen to me...

0:21:060:21:07

Cheers, Dave. Well done(!)

0:21:070:21:09

-What's your name?

-Rosa.

0:21:090:21:10

Rosa, 98% of casualties found alive

0:21:100:21:14

stay alive, OK?

0:21:140:21:16

And the important thing is we got to him really quickly.

0:21:160:21:20

Get back to your dad. We'll keep you updated, OK?

0:21:200:21:22

98% survival rate...

0:21:290:21:31

Really?

0:21:310:21:33

You think, if he dies, it's the lie that'll bother her?

0:21:330:21:35

They can take you over in the RRV when you're ready to go.

0:21:370:21:40

Me? Oh, no, no, no.

0:21:400:21:42

I leave the hero stuff to the heroes.

0:21:420:21:43

You're not rattled, are you?

0:21:430:21:45

-You think I scare that easy?

-So take the call, then.

0:21:450:21:48

You up for keeping me company?

0:21:490:21:50

Nah.

0:21:500:21:51

Nah, I'd need to get permission.

0:21:510:21:53

Oh...

0:21:530:21:55

Goodness, where are they? Where are they?

0:21:550:21:58

I mean, if you've been castrated, they've got to be here somewhere.

0:21:580:22:01

Very, very funny.

0:22:010:22:02

Listen ,we haven't all got the head honcho looking out for us. Hm?

0:22:020:22:05

Haven't we?

0:22:050:22:06

Idiot.

0:22:160:22:17

Idiot.

0:22:170:22:18

Idiot!

0:22:190:22:21

-FROM OTHER ROOM:

-'Idiot!'

0:22:300:22:33

-She's a big hit, your half-sister.

-Thank you, Max.

0:22:370:22:40

Oh, that is too cute. Wait there...

0:22:400:22:42

PHONE CAMERA CLICKS

0:22:420:22:44

I think there's a family resemblance, look.

0:22:440:22:46

In the chin.

0:22:460:22:48

Yeah. Max, I need this like a whole in my head.

0:22:480:22:50

I've got enough on my plate.

0:22:500:22:51

That's interesting, but you're not the only one. So...there you go.

0:22:510:22:54

I'm done.

0:22:540:22:56

Why people are obsessed with family I will never understand.

0:22:560:22:59

Oh, and it's true what they say...

0:22:590:23:01

Ladies love a baby. So...you should give it a go.

0:23:010:23:05

I can see Zoe had nothing to worry about when it came to you.

0:23:050:23:08

You spoke to Zoe?

0:23:100:23:12

Erm, yeah. I mean, she's asked me to keep an eye on you,

0:23:120:23:15

make sure you're not taking separation badly.

0:23:150:23:17

-But I can see you're having a blast.

-Yeah, that's right.

0:23:170:23:20

You tell her from me...

0:23:200:23:21

I'm living the dream.

0:23:210:23:23

Can you find Staff Nurse Masters for me?

0:23:300:23:32

He's gone out to the entrapment.

0:23:320:23:33

Did Rita sanction that?

0:23:350:23:37

Right, I want to know when he's back.

0:23:410:23:43

Your dad's X-ray shows two broken ribs and a collapsed lung.

0:23:520:23:56

We've inserted a chest drain, so he should be feeling much better.

0:23:560:24:00

The abrasion on his forehead is superficial, but he seems confused.

0:24:000:24:04

My... My mum died six months ago.

0:24:060:24:09

He's not been the same since.

0:24:090:24:11

But he's fine, really.

0:24:120:24:14

It could also be a concussion from the fall.

0:24:150:24:17

I'll order a head CT just in case.

0:24:170:24:19

I'm sorry if I upset you earlier...

0:24:340:24:36

..but Philip is still trapped.

0:24:370:24:40

Baba, if you know anything about that fire, please tell me.

0:24:400:24:45

The reactor room is where I started as an apprentice.

0:24:500:24:54

Mixing the chemicals.

0:24:550:24:56

I know that place so well.

0:24:580:25:00

But I don't know why I was there.

0:25:020:25:04

What's wrong with me, Rosa?

0:25:080:25:09

Oh, Baba...

0:25:090:25:11

..you've had a bump to the head, you're confused.

0:25:120:25:16

It's understandable.

0:25:160:25:19

HE PANTS

0:25:220:25:23

Doctor!

0:25:230:25:25

Help him! There's... There's blood!

0:25:250:25:27

-Where?

-In the tube.

0:25:270:25:29

Mr Sarwar, how are you feeling? How's your breathing?

0:25:290:25:32

I am just going to have a listen to your chest, all right?

0:25:320:25:36

Nice, deep breaths, Philip.

0:25:360:25:38

Well, you really know how to treat a girl.

0:25:390:25:41

Right, this is Philip Mayhew.

0:25:460:25:48

He's got a badly displaced compound femur.

0:25:480:25:50

I've given him 20mgs of morphine,

0:25:500:25:52

but he's still in too much pain to get a splint on.

0:25:520:25:54

The pain score is still ten.

0:25:540:25:56

Hi, Philip.

0:25:560:25:57

My name is Elle, and you're doing really well.

0:25:570:26:00

All right, just be careful. There's lots of acid around.

0:26:000:26:03

-I'll give him ketamine.

-Can't, can't.

0:26:030:26:05

Negative.

0:26:050:26:07

He says he reacts badly to it.

0:26:070:26:08

OK, his pulse is raised. BP 90/50.

0:26:080:26:11

Ellie...

0:26:110:26:13

Come on, man!

0:26:130:26:15

Fine.

0:26:170:26:18

We'll go for a femoral nerve block, then we'll splint the leg.

0:26:180:26:21

I'll need ten mills lignocaine.

0:26:210:26:23

Guys, they've evacuated the surplus crew.

0:26:230:26:25

All right, Pancake.

0:26:250:26:26

98%.

0:26:260:26:28

Here's hoping you're right.

0:26:280:26:30

Hi. I'm looking for Brian Carroll and my daughter.

0:26:360:26:39

Oh, they're both fine. Dr Keogh's just taking care of Rihanna.

0:26:390:26:43

I don't... I don't want to depress you.

0:26:430:26:46

It's just, erm... Well, you're pre-verbal -

0:26:460:26:48

I can be frank, can't I?

0:26:480:26:49

-There she is!

-We were...just chatting.

0:26:490:26:52

Oh, I'm glad. I've wanted you to meet for a long time.

0:26:520:26:55

Look at her face. She likes you!

0:26:550:26:57

Either that or it's wind.

0:26:580:26:59

I was hoping he'd get you. Is it his asthma?

0:27:000:27:03

Er, no. Your husband locked your daughter in a car

0:27:040:27:07

and had to smash a window to get her out.

0:27:070:27:10

-But I'll leave him to explain.

-I did...

0:27:100:27:12

I did call and leave a few messages when she was born.

0:27:120:27:15

I don't know if it was the right number.

0:27:150:27:17

Yeah, no, I got the messages.

0:27:170:27:19

Why are the bloods so late?

0:27:250:27:26

The lab rejected the original sample. We had to do it again.

0:27:270:27:31

Hm... His INR is eight.

0:27:310:27:34

I think he's been taking too much warfarin.

0:27:340:27:36

Let's give him 10mg of vitamin K to counteract it

0:27:360:27:38

and 5,000 units of prothrombin complex.

0:27:380:27:41

What's wrong with him?

0:27:420:27:44

-My head hurts.

-Your father's blood isn't clotting.

0:27:440:27:47

How many warfarin has he been taking?

0:27:470:27:49

One.

0:27:490:27:50

Same time every day.

0:27:500:27:51

I'm old enough to take my own medication.

0:27:510:27:54

Sometimes he forgets. So it's easier if I do it.

0:27:540:27:56

No, you're the one who forgets. That's why I have my alarm.

0:27:560:27:59

Foolproof.

0:27:590:28:00

-Why didn't you tell me?

-I'm not your child.

0:28:120:28:14

You are mine!

0:28:140:28:15

All right. Rosa...

0:28:150:28:17

If there is an issue with his clotting,

0:28:200:28:22

then the head abrasion could be a lot more serious than we thought.

0:28:220:28:25

It could indicate a bleed.

0:28:250:28:27

Has he displayed any signs of confusion before the accident?

0:28:270:28:31

No.

0:28:310:28:32

OK.

0:28:320:28:33

There's nothing to worry about just yet,

0:28:330:28:35

but we need to get the head CT sorted ASAP.

0:28:350:28:37

-Philip, better if you don't watch this bit.

-Why?

0:28:420:28:44

Trust me.

0:28:440:28:46

Ready?

0:28:480:28:49

One, two, three.

0:28:490:28:51

BONE CRACKS

0:28:510:28:53

HE GASPS

0:28:530:28:54

Urgh...!

0:28:540:28:56

-Let's splint the leg.

-We did good.

0:28:570:29:00

Excuse me. Jez just called.

0:29:030:29:05

They're on their way in.

0:29:050:29:07

You let me know as soon as they arrive.

0:29:070:29:10

OK, well, it is a nasty cut.

0:29:170:29:20

But I'm sure Louise has told you there's no glass in the wound.

0:29:200:29:22

You said you were staying in.

0:29:220:29:24

She goes crazy cooped up in there.

0:29:240:29:26

I just took her for a ride.

0:29:260:29:28

The car's not even taxed.

0:29:280:29:30

And where have you left it?

0:29:300:29:32

It's down Evason Road.

0:29:320:29:34

What, outside the bookies?

0:29:340:29:36

Look, I promised you, didn't I?

0:29:360:29:37

I didn't set foot in there, honest.

0:29:370:29:40

Look, here I am, I'm injured, and all you can do is have a go.

0:29:410:29:44

You're as bad as he is.

0:29:440:29:45

OK, once Louise has finished I'm delighted to say

0:29:450:29:47

I will be able to discharge you.

0:29:470:29:49

-All done.

-Great.

0:29:490:29:51

Cos I could do with some fresh air.

0:29:510:29:53

Still smoking, are you?

0:29:550:29:57

It doesn't take a genius to work out

0:29:570:29:59

where the asthma's coming from, does it?

0:29:590:30:01

It's one of the few pleasures I've got left.

0:30:010:30:03

You going to take that away and all?

0:30:030:30:05

-He doesn't mean it.

-He does mean it. But that's not my problem.

0:30:060:30:09

Dylan...he's changed.

0:30:090:30:11

He's a good dad to her.

0:30:120:30:14

And I know he doesn't show it,

0:30:140:30:16

but he knows he messed up first time round.

0:30:160:30:19

THE BABY GURGLES

0:30:190:30:21

What have you got?

0:30:260:30:27

Philip Mayhew, 26. Leg trapped in a metal staircase two hours ago.

0:30:270:30:30

It's an open femoral fracture that's had to be manipulated

0:30:300:30:33

with a femoral nerve block,

0:30:330:30:34

as he's had a serious reaction to ketamine before.

0:30:340:30:37

GCS 15 on arrival.

0:30:370:30:39

BP 110/70.

0:30:390:30:40

Pulse 90. Resps 22. Temp 36.

0:30:400:30:43

Small resus.

0:30:430:30:44

Sats 97% after 20 of morphine and ten of lignocaine.

0:30:440:30:47

What did you think you were doing?

0:30:490:30:50

Not guilty. Her idea.

0:30:500:30:52

Coward!

0:30:520:30:53

What, you think this is a joke?

0:30:530:30:55

Do you?

0:30:550:30:57

As soon as I've stabilised your patient,

0:30:580:31:00

I want to see you in my office.

0:31:000:31:01

Er, wow...

0:31:050:31:07

Good going, Pancake.

0:31:070:31:09

It takes great skill to get her that angry.

0:31:090:31:12

Well, if she wanted a penpusher - Pudding -

0:31:120:31:15

she hired the wrong doctor.

0:31:150:31:17

She didn't hire you.

0:31:170:31:19

Come on, Roger. It's a safe bet.

0:31:200:31:23

50 to win, yeah?

0:31:240:31:25

You know I'm good for it.

0:31:270:31:28

HE COUGHS

0:31:300:31:31

Hey, could I get a light?

0:31:310:31:33

Are you sure you should be doing that?

0:31:330:31:35

You want to step out of your glass house every now and then.

0:31:350:31:38

I'm giving up.

0:31:380:31:40

Well, when you get to my age, you learn to give in to you vices.

0:31:400:31:43

HE COUGHS AND GASPS

0:31:430:31:45

Are you all right?

0:31:450:31:47

Can we get some help here, please?

0:31:470:31:49

Right, let's put two units of O-neg through the level one,

0:31:500:31:53

then get him straight to X-ray, all right?

0:31:530:31:56

Might need to bleep Orthos.

0:31:560:31:58

We'll take a look at your burns once you come back from X-ray, OK?

0:31:580:32:01

Be very quick about it, OK?

0:32:060:32:08

Rosa...

0:32:130:32:14

Someone put acid in the system.

0:32:180:32:20

Deliberately.

0:32:210:32:23

-You don't know that for sure.

-I know that place inside out.

0:32:230:32:26

It's the only thing that could have started that fire.

0:32:260:32:28

Why was your dad even near the reactor?

0:32:290:32:31

-He was putting out the fire.

-I know you.

0:32:330:32:35

I know the business is struggling.

0:32:360:32:38

It's not about money.

0:32:380:32:40

I don't think he's very well.

0:32:420:32:44

Whatever happened, he can't remember.

0:32:450:32:48

-He's been getting worse for months.

-Why didn't you tell me?

0:32:480:32:51

-I could have helped.

-And done what?

0:32:510:32:53

Look, he'll be OK.

0:32:540:32:56

I'll make sure of it.

0:32:560:32:58

But you have to promise...

0:32:580:33:00

you can't tell anyone.

0:33:000:33:02

That fire was an accident and that's all anyone needs to know.

0:33:030:33:07

Well, if they ask me, I don't think I can lie.

0:33:070:33:09

Not about something this big.

0:33:090:33:11

It's lucky someone wasn't really hurt.

0:33:110:33:14

Rosa...

0:33:160:33:18

HE STRUGGLES TO BREATHE

0:33:190:33:21

Rosa...

0:33:280:33:30

the CT confirmed there was no bleed.

0:33:300:33:32

But it revealed significant cerebral atrophy.

0:33:320:33:34

There was no way he was coping without any help.

0:33:340:33:37

But I suspect you know that already.

0:33:370:33:39

It's his memory, isn't it?

0:33:400:33:41

It's probably due to a microvascular disease.

0:33:430:33:46

Indicative of possible early dementia.

0:33:460:33:49

You can't tell him. Please.

0:33:520:33:54

We watched my mother disintegrate.

0:33:560:33:58

Alzheimer's.

0:33:590:34:00

This diagnosis will kill him.

0:34:020:34:04

The mistake with his warfarin could have cost him his live.

0:34:040:34:07

What if he's not coping at work?

0:34:070:34:09

You don't know anything.

0:34:090:34:10

My dad had nothing to do with that fire.

0:34:120:34:15

But what if you think he did?

0:34:150:34:17

Someone could have died today.

0:34:180:34:20

Well, unless somebody can prove otherwise, he's innocent.

0:34:200:34:24

If you won't face up to what's happening then I'm sorry, but your dad has to understand.

0:34:240:34:28

So are you formally diagnosing him?

0:34:290:34:32

Because if you're not sure...

0:34:320:34:34

don't tell him anything.

0:34:340:34:36

Unless you want me to make a formal complaint.

0:34:380:34:40

If not...

0:34:420:34:44

leave us alone.

0:34:440:34:45

OK.

0:34:470:34:48

We'll move him to HDC for the time being.

0:34:500:34:52

The specialists will come and speak to you.

0:34:520:34:54

Sorry, Philip's developing stridor.

0:34:560:34:58

Connie...

0:35:120:35:14

Look...go easy on Elle, man.

0:35:150:35:18

I mean, she did some really great work out there.

0:35:190:35:21

That is between me and Dr Gardner.

0:35:210:35:23

-Sister Freeman will discipline you in due course.

-Hey...

0:35:240:35:27

I didn't mean to scare you.

0:35:290:35:30

Don't flatter yourself.

0:35:310:35:33

I've got something to show you.

0:35:380:35:40

This is my first one.

0:35:400:35:42

I get another one in a month.

0:35:420:35:43

You know, I thought it was just an American thing.

0:35:450:35:48

Er, no, no.

0:35:480:35:49

MONITORS BEEP

0:35:530:35:55

-How you doing, Philip?

-The smoke must have aggravated his lungs.

0:35:550:35:58

Do you have the RSI drugs? We need to intubate.

0:35:580:36:01

Rosa...!

0:36:010:36:02

Trust me.

0:36:040:36:05

I won't say anything.

0:36:050:36:07

Don't worry. I just want you better.

0:36:070:36:10

I'm sorry, you'll have to wait outside.

0:36:100:36:12

I'll be right outside. I'm not going anywhere.

0:36:120:36:14

-That doctor said he'd be OK!

-Right, outside, please.

0:36:150:36:18

OK, thank you. Anaesthetist has been held up.

0:36:180:36:21

Sats is 82 and still falling.

0:36:210:36:23

It's too swollen. I can't see anything. Bag, please.

0:36:230:36:25

We can't ventilate.

0:36:290:36:31

We'll have to prep for a surgical airway.

0:36:310:36:33

Your patient. I'm just here if you need me.

0:36:330:36:35

OK.

0:36:350:36:37

So it's not asthma, then?

0:36:390:36:41

No. COPD has nothing to do with asthma.

0:36:410:36:44

Erm...

0:36:440:36:46

we'll need to run some more tests.

0:36:460:36:47

How long have I got?

0:36:470:36:49

Well, managed well, you could live for years.

0:36:490:36:52

Erm, managed badly...

0:36:520:36:53

You mean smoking?

0:36:530:36:55

Yes, obviously, I do.

0:36:550:36:56

Look, if you value the time you have left...

0:36:570:37:00

You got your revenge in the end, didn't you?

0:37:000:37:02

Bry, don't...!

0:37:020:37:03

Believe me, I wouldn't wish COPD on anybody.

0:37:030:37:06

MONITORS BEEP

0:37:080:37:10

Sats 76. He's been down for two minutes.

0:37:170:37:19

Inflate the cuff.

0:37:360:37:38

Ventilate.

0:37:380:37:39

BEEPING DIES DOWN

0:37:410:37:44

Good. Impressive. Well done.

0:37:490:37:50

I'll let Rosa know.

0:37:520:37:54

I'll do it.

0:37:540:37:55

Right, one strong blow. Big as you can.

0:37:570:37:59

BABY GURGLES

0:37:590:38:01

OK, yeah.

0:38:020:38:04

Given the severity of your symptoms,

0:38:040:38:06

I'm afraid we're going to have to keep you in.

0:38:060:38:08

Good, that will give me a break.

0:38:080:38:09

-Brian's got something he wants to say.

-Has he?

0:38:090:38:12

Yeah, I didn't mean

0:38:120:38:14

what I said earlier.

0:38:140:38:15

I was in shock.

0:38:150:38:17

I'm sorry.

0:38:170:38:18

OK, well, you know it's water off a duck's back these days.

0:38:210:38:24

Oh, please, just hear him out.

0:38:240:38:25

We shouldn't be at each other's throats, you know?

0:38:250:38:28

-We're family.

-That's at least 30 years too late.

0:38:280:38:31

Better late than never, yeah?

0:38:310:38:32

And...?

0:38:320:38:34

We were thinking about having Rihanna christened next month.

0:38:340:38:38

Not "thinking about".

0:38:380:38:40

We're having a christening and...

0:38:400:38:42

we wondered if you'd, you know,

0:38:420:38:45

please...be her godfather?

0:38:450:38:47

Rosa...

0:39:060:39:07

Philip is out of theatre. You'll be able to see him soon.

0:39:070:39:10

I don't think I can face him.

0:39:120:39:14

I've been covering for Baba all this time.

0:39:170:39:19

I knew he was ill.

0:39:200:39:22

I should have said something sooner.

0:39:230:39:25

You've had a lot to cope with.

0:39:250:39:27

But hiding from the truth never helps anyone.

0:39:280:39:30

SHE SIGHS HEAVILY

0:39:360:39:39

It's true!

0:39:450:39:46

Cos then he said, "Don't worry, sir, here's your old school tie!"

0:39:460:39:50

Oh, erm...

0:39:540:39:55

I'm sorry. Sorry.

0:39:560:39:58

No, don't apologise.

0:39:580:40:00

I can't remember the last time he laughed like that.

0:40:010:40:03

I was telling David about the good old days.

0:40:030:40:06

I'm sorry.

0:40:090:40:11

You must have a way with words. Well done.

0:40:110:40:13

Doctor...

0:40:200:40:21

..you would tell me if anything was wrong?

0:40:230:40:26

This old soul has started to worry.

0:40:260:40:29

The scan suggests you have vascular dementia.

0:40:330:40:36

It's a disease that affects your memory

0:40:360:40:39

and, at present, it's not curable.

0:40:390:40:42

Erm, what...?

0:40:420:40:44

The progression of the disease can't be reversed.

0:40:440:40:47

With treatment, symptoms can be improved.

0:40:470:40:49

HE CHUCKLES

0:40:520:40:54

Not Alzheimer's?

0:40:540:40:56

No, Baba.

0:40:560:40:58

So it's nothing to worry about?

0:40:580:41:00

Nothing for you to worry about.

0:41:010:41:03

Yeah, yeah...

0:41:030:41:05

We'll make sure you're very well looked after.

0:41:050:41:07

And Rosa, too.

0:41:070:41:08

She's a good girl.

0:41:080:41:10

I can stay with your father, if you want to go and see Philip.

0:41:110:41:14

Thank you.

0:41:160:41:17

We got the patient out. No harm done.

0:41:220:41:25

To reiterate, Staff Nurse Masters

0:41:250:41:27

failed to gain the appropriate permission to leave.

0:41:270:41:29

Oh, come on, Connie, chill out.

0:41:290:41:33

I've no interest in parking my car on your lawn.

0:41:330:41:36

-I suggest you stop there.

-Connie...

0:41:360:41:39

I have a dog, a mortgage, a house with a hole in the roof

0:41:390:41:41

and three teenage boys.

0:41:410:41:43

I spend my life worrying about paying the bills

0:41:430:41:45

and whether or not my sons are addicted to internet porn.

0:41:450:41:47

The word "ambition" fell out of my lexicon a long time ago,

0:41:470:41:50

so if you're worried about me

0:41:500:41:52

trying to fit into those VERY high heels,

0:41:520:41:54

I can assure you...

0:41:540:41:55

Finished?

0:41:580:42:00

Yeah.

0:42:020:42:03

It has taken great pains to build an effective and efficient team here.

0:42:060:42:11

It works well because it works the way I want it to.

0:42:110:42:13

It runs by my rules.

0:42:130:42:15

If that's something that doesn't suit you,

0:42:160:42:18

I suggest you do something about it now.

0:42:180:42:20

And I know Mr Hanssen will agree with me.

0:42:200:42:23

Do you understand?

0:42:230:42:25

Yes.

0:42:270:42:29

Thank you.

0:42:300:42:31

Keep it. Stick it on your fridge.

0:42:580:43:01

It's not, er... Not quite my thing.

0:43:030:43:04

I don't know. Seems like you're becoming part of the family now.

0:43:040:43:08

Unfortunately, we're not all as good as you at moving on, Max.

0:43:110:43:14

You want to know a secret? It's not easy.

0:43:140:43:16

You just pretend to yourself that it can be.

0:43:180:43:20

You sound like a human fortune cookie. What does that even mean?

0:43:200:43:23

If your dad's up for sorting this stuff out, Dylan, so why aren't you?

0:43:230:43:26

Mac, there you go.

0:43:290:43:31

-What's this?

-I thought you could put all your tokens on there, you know,

0:43:320:43:35

one by one.

0:43:350:43:36

Make it a little bit special.

0:43:360:43:38

Did Honey give you this?

0:43:380:43:40

She'd be as proud of you as I am, mate.

0:43:400:43:42

Where is he?

0:43:470:43:48

Have you...?

0:43:490:43:51

-Dylan, you know what he's like without a fag, he...

-Yes, I do.

0:43:510:43:54

What are you doing?

0:44:160:44:17

It's one cigarette, Dilly.

0:44:170:44:19

I thought you said things were going to be different for Rhiannon.

0:44:210:44:23

Rihanna. They will be, yeah.

0:44:230:44:26

Yeah.

0:44:260:44:27

There you go. All gone.

0:44:280:44:29

Happy now?

0:44:300:44:32

One more fag. It was always just one more fag, wasn't it?

0:44:320:44:36

-You're never going to change.

-Will you get off your high horse?

0:44:360:44:39

Yeah, I thought we were pals now.

0:44:390:44:43

If you want to kill yourself, be my guest.

0:44:460:44:47

But don't expect me to stand around and watch.

0:44:470:44:50

Oooh!

0:44:580:45:00

Now, Dr Chao was singing your praises.

0:45:000:45:02

I'm impressed.

0:45:020:45:04

Thank you.

0:45:040:45:06

Goodbye.

0:45:060:45:07

Bye, Dave.

0:45:090:45:10

It's... It's David.

0:45:100:45:12

-Hey!

-Yo!

0:45:120:45:13

I thought you said your girlfriend was a pussycat.

0:45:130:45:16

Ah, no, no, no. Number one, she is not my girlfriend, all right?

0:45:160:45:19

Number two, she is the boss, whether you like it or not.

0:45:190:45:22

If you want to be one of us, you need to get on side.

0:45:220:45:24

Ooh-ooh!

0:45:240:45:25

You really like her, don't you?

0:45:250:45:27

We had a thing. We've moved on.

0:45:300:45:32

You may have. But do you think my backside

0:45:320:45:34

would have been toasted like a marshmallow

0:45:340:45:36

if she still wasn't holding a candle?

0:45:360:45:38

Mmm...

0:45:380:45:39

See, more likely she's just showing you she's not afraid

0:45:390:45:42

of your hotline to him upstairs.

0:45:420:45:44

No-one likes a cuckoo in the nest, Pancake.

0:45:460:45:49

So, all this because I'm friends with Henrik?

0:45:490:45:51

No!

0:45:510:45:52

Cos if anything happens to Connie or this ED,

0:45:540:45:56

I promise you...

0:45:560:45:58

our history won't count for anything.

0:45:580:46:01

See you in a bit.

0:46:020:46:04

We're off now.

0:46:200:46:22

They've taken him up to a ward.

0:46:220:46:24

OK. Well, good luck and all that.

0:46:250:46:27

Is that all you've got to say?

0:46:280:46:30

Well, what else is there to say?

0:46:300:46:32

Dylan...

0:46:320:46:33

..I want you to be part of her life.

0:46:340:46:36

She's your sister, whether you like it or not.

0:46:360:46:40

How long before he messes her up, like he has with everybody else?

0:46:400:46:43

That's not going to happen. Not while I'm around.

0:46:440:46:47

Well, I'm afraid we have a habit of turning into our parents.

0:46:470:46:50

Well...

0:46:510:46:52

she's got me.

0:46:520:46:54

And your dad's got a family who love him.

0:46:540:46:56

What have you got?

0:46:570:46:59

Hey, handsome.

0:47:080:47:10

You look awful.

0:47:100:47:12

Tough day?

0:47:120:47:13

Well, it's, er... It's hard to put into words, really.

0:47:130:47:17

-The think is...

-I know what you're thinking.

0:47:170:47:19

-You do?

-Mm.

0:47:210:47:22

SHE WHISPERS

0:47:250:47:27

Am I right?

0:47:330:47:34

Erm...

0:47:340:47:36

yeah.

0:47:360:47:37

-Yeah, that's about right.

-Good.

0:47:370:47:39

Let's crack on, then.

0:47:390:47:41

I'm going to show you just how right we are for each other.

0:47:410:47:44

You know...

0:48:050:48:07

a smile is your passport into the...

0:48:070:48:09

What is it? Hearts of others?

0:48:100:48:12

Fortune cookie strikes again. Very apposite.

0:48:140:48:18

It's good to see all that therapy paid off.

0:48:180:48:20

We are who we are. We can't change that.

0:48:200:48:23

Look at you. You're another one that can't stop smoking!

0:48:230:48:26

I don't know. I've kicked one habit this week.

0:48:260:48:29

It can't be that difficult to kick another.

0:48:300:48:33

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