History Repeating Casualty


History Repeating

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You didn't steal them, so who are you protecting?

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There's a bigger story here.

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Your little friend decided to have a witch hunt against Charlie.

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That's why we're in this situation.

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Did the police call back?

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-I'd hate to think you were vulnerable.

-Will you walk me home?

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Yeah, but I thought...

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-It was Mark.

-She's your sister.

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How long before he messes her up,

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like he has with everybody else?

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Is this about your wife?

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Your wife was...

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Ah, Louise! Handover notes.

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I'm off.

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So, you got any more plans with Iain?

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I'd say so.

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I'm pretty sure I left him wanting more last night.

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Won't be long now, Sophie, OK?

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My baby's sick.

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Can you call Dr Keogh?

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Of course.

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Aww, she's got a temperature.

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When did this start?

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Isn't that your baby sister?

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Hmm. My father's other offspring

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are probably best left to the care of somebody else.

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OK, I'm going to get someone to see you.

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Nice pyjamas.

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Evening, Lou.

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Hi, team.

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Is Charlie even the type to like a fuss?

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Charlie went down sticking up for his team.

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He's got his "welcome back to work" meeting on Monday

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and we are making a fuss.

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That is beautiful, Robyn.

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Noel...

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..take a deep breath, put the key in the lock

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and clean out Mac's locker.

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I feel like a grave robber.

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Hey, team. Pizza to get us through the night shift.

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I...

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When are you due?

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Eight weeks.

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Not long.

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It is your first?

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-Do you mind just...?

-BABY CRIES

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Just...

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There. Thank you.

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I'm so not ready to face Glen yet.

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I can't believe I kissed him,

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a grieving man too vulnerable to know better.

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There's a word for women like me, I just don't know what it is.

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That's one for Dictionary Corner, methinks.

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Yeah, well, don't write to Countdown just yet.

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We've the Mortality Cafe first thing. You can't avoid him.

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I can try!

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Mr Crump?

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Rihanna - seven months, temperature.

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Has a doctor not been to see you yet?

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Yeah, twice, but I turned them down.

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She needs to see Dylan. It's her big brother.

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It's not really best for family members to treat family.

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Dylan? Please.

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She's really sick.

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Could you just take a look at her?

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Do you think you might be able to find Ethan

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to have a look at the infant?

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Rihanna needs her brother.

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I have explained that it's not best practice to treat family.

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Family?

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We have similar DNA,

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but so is my DNA similar to that of a banana.

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Why don't you go and take a seat

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and I'll get someone over in a sec, OK?

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Louise, the pregnant lady with the sore arm, isn't she your patient?

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I thought she was yours.

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Pregnant women really aren't my comfort zone.

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That thing I mentioned.

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Yeah, I remember, but...

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you can't avoid them forever, hon.

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Soph, are you ready?

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This place is for emergencies.

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No, no, no. You're all right.

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It's not even hurting any more.

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Oh, welcome back, Charlie.

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I didn't think you were starting till next week.

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Well, no, actually, I'm not on duty.

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I've just got a very important meeting that I have to prepare for.

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Oh.

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Well, if it helps, the nurses are giving me hell

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over me blabbing my mouth off to Hanssen.

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Well, my team tend to operate on trust.

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OK, head forward then, please.

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Her raised temperature and cough would suggest a chest infection,

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but we'll investigate.

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Has Rihanna been around any smoke at all?

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My partner's got COPD, so he quit.

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Right.

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The laws of gravity apply to blood as well.

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Can you keep the pressure on for me, yeah?

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Hello.

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Jacob, I do understand why the nurses think I crossed a trust line.

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I warned you, you were on your own.

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Now you're going to have to earn their trust back yourself.

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OK! Who've you got for me now?

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A diabetic foot ulcer.

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Right.

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Are you not happy with your triage?

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Mm.

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You better give this back to the pregnant lady.

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Soph Kelly?

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Her arm felt better, so she left.

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We keep the notes updated for a reason, Dr Gardner.

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She left just without being seen?

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Are you accusing Robyn of poor duty of care or something?

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No.

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No, of course not.

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Here.

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I'll be back.

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You don't like hospitals, do you?

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Hey.

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You forgot your page-turner.

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Oh. How could I?

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The nurses mentioned that you left.

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Yeah, my arm felt better.

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It doesn't look like the bus is coming any time soon, so...

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why don't you just let me check that arm for you?

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No harm in just checking.

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OK, the IV access is so that we can run blood tests

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and give IV medication if we need to.

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Sorry, the baby-sized lines can be a little fiddly.

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Well, a nice song will help, won't it, Rihanna?

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# We found love in a hopeless place

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# We found love in a hopeless place... #

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OK, I'm going to try the other side.

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-Can you chase up the RSV results, please?

-OK.

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She's boiling hot.

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-What's wrong with her?

-Don't worry.

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The paediatric paracetamol will bring her temperature down.

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Her ears and the back of her throat are a little red and inflamed.

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I just need to get a line in, in case it's a bacterial infection -

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and, if so, we will need to take a blood culture as well.

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Can you discharge my nasal fracture please, Ethan?

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Uh, OK.

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BABY CRIES

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Your baby sister will love you for this.

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Got sats at 90%, heart rate at 160.

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Can we get her some oxygen and get her to the HDC then, please?

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BABY CRIES

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Pint and then bed for me tonight.

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I thought you ended it with Rita.

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Kind of.

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I think she's got the wrong idea.

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I might have...

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I might have accidentally had goodbye sex with her last night.

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Hey, don't start messing her about again.

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Oi! Cover for me.

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Oh!

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HE GROANS

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Going somewhere?

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Poor little mite.

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Her poor mum.

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100ml bolus given.

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Heart rate's stabilising.

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So, do we know what caused it?

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Well, have a guess, Hazel.

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What do you think would cause a baby

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to have the respiration of a middle-aged smoker?

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-Here's a clue, your baby smells like an ashtray.

-Dr Keogh.

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You come in here wringing your hands about, "My poor baby."

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If you really cared, you'd stop wringing your hands,

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you'd answer my question.

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He only ever smokes outside.

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He couldn't live with himself if thought he'd hurt her.

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It looks like she's getting better, so it's all right now anyway.

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'Leave a message for Brian after the beep

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'and, for Pete's sake, make it short.'

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Hello, Brian. Your daughter is in Holby City ED.

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You really should get down here as soon as you can.

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Hmm.

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So, Soph, you still have two arms.

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Was there anything else?

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Swollen ankles, dangerous cravings...

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I saw you had a C-section scar.

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They had to do a C-section at seven months.

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He was already gone.

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I'm sorry.

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It was in Warsaw.

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My husband's in haulage,

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he had a contract out there for a couple of years.

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And what stage are you now?

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Seven months.

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It didn't feel right doing the C-section.

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You can't do that to a baby that's not ready to be born,

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but Liam can be a bit of a bulldozer

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when he thinks he knows best, so...

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Did the doctors mention clotting or blood clots?

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I know you came to see us about a sore arm but...

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is there anything else worrying you?

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I can't feel him moving around as much.

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It hurts a bit when I breathe in.

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OK, well, we are going to look into that right now.

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I'll be back in one minute.

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Yes, this is Dr Gardner from ED.

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I need someone to bring a CTG machine down right now.

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Much appreciated. Thanks.

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-PHONE RINGS

-Baby's fine.

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Maternity unit, midwife speaking.

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ED?

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Yes, I think I can remember the way.

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The crown jewels have lost some of their sparkle.

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Would you like me to go to the canteen, Iain?

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I'm sure they're doing some plum crumble!

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You want some plum crumble, do you, Noel?

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I tell you what, I'm not having Dylan rifle through my pants.

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Oh, don't worry. I'm going to take the bullet for that.

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It'll give us a chance to chat.

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I wouldn't have let her go if I knew it was serious.

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She wasn't up front with her symptoms.

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You couldn't have known.

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No, but you knew.

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I've been heavily pregnant too,

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so I know that unless it's falling off,

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wild horses would not make that woman get out of her bed

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and come and sit in A&E with a sore arm.

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Still doing off-duty homework?

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Yeah, I've got a post-suspension meeting

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with the Director of Nursing...

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so...

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I thought a little homework might be wise.

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Listen...

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..thanks for not putting the boot in.

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It's just, Robyn's the sort who would lose a lot of sleep

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if she thought she missed something.

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PERSISTENT BEEPING

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You're needed.

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-I'm up to my eyes.

-What, in cheese and pickle? You're on!

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All right, Soph.

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Rihanna's RSV results are back double-quick.

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At least it should help Hazel stop beating herself up.

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It's viral, so not just wheezing from her dad's smoke.

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Yeah, but it's the environment that she's been living in,

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isn't it, that's made her susceptible? It's still his fault.

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All right, OK. Yeah, thanks.

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Where is she?

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What's happening?

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Is she dead?

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Your daughter is ill because of exposure to your second-hand smoke.

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At least I assume it is second-hand,

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you haven't got her on a 20-a-day habit of her own yet.

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This time,

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thanks to my team, and me,

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she's going to be all right. You don't have to worry.

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You'd love me to react to that, wouldn't you?

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Well, at least you seem to care about your daughter.

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That is something. HE COUGHS

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You laughing?

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You are. You're actually laughing.

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HE WAILS

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It's a tiny little cut

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with some bruising to your testicles.

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Oh!

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They've swollen like balloons.

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All right, Robyn. Speak up, why don't you?

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People in the morgue didn't hear you!

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Oh, here he is.

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What am I, your pre-rave entertainment?

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Of course.

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And for your information,

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no-one's called them raves since 1852.

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How's the...?

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He's yet to grow a pair.

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Hey, that's not fair.

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You tried to get away from me back there.

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If what happened last night was a mistake

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and you don't want to be with me, Iain, that is fine. I'll live.

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Why am I always the bad guy?

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Look, I've just given you a get-out-of-jail-free card.

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Use it.

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Now, let's get that superficial laceration

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on little Iain stitched up.

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Hope my hand doesn't slip.

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Whoa, whoa, whoa! Rita, hang on.

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I am not taking you for a fool.

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You don't know what I think about you.

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What do you think about me?

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I really like you...

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all right? It's just, sometimes, you can be a little bit...

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..bolshie.

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Bolshie?

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Yeah, bolshie.

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So, what are you saying?

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If I'm LESS bolshie...

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..you want us to be together?

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Yeah.

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Yeah, definitely.

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I'll get a smaller needle then.

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The pain when you take a deep breath,

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your ECG and arterial blood gas,

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lead us to think you may have a pulmonary embolism,

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a clot in your lung,

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but we can't be sure.

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We have to do another test to see if it is a PE.

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That test is a CTPA scan.

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What do you think?

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I'm not having a CTPA scan again.

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It's a minimal, minimal amount of radiation.

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We could do an echo instead.

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That is far from an ideal option.

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No, do it.

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It looks like there may be some strain on your heart

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because of a PE but...

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as I said before, without a CTPA scan, I can't be sure.

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The radiation is very little.

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The risks to your baby are far fewer than you not having the scan at all.

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They said that last time and my baby was dead a few hours later.

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I promise you, the CTPA would not have been the cause.

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It's not up for discussion.

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OK.

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We'll start you on a blood-thinning drug called tinzaparin

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which, hopefully, will help break up the clot.

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However, the drug can cause complications.

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Please, just try it.

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I came home to check on you.

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The neighbours said you were at the bus stop in your pyjamas.

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-Why didn't you call me?

-They think it might be a clot again...

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but it's under control.

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Right, who's in charge here?

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I'm the doctor leading.

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An obs and gynae doctor?

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An emergency medicine consultant.

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A non-specialist? Great(!)

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You know she had a stillbirth last time, yeah?

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Nearly died, too.

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I'm aware of the history, I've spoken to an obstetrician.

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Good. So, we're not going to let my wife nearly kill herself again.

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Where's that...

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scan she needed last time?

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A CTPA scan?

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You wife doesn't want one.

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Well, she's having whatever she needs.

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I agree with you, but your wife doesn't agree with us.

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I'm not watching her nearly die in front of me again!

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Hey, back off!

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-What?

-Don't test me.

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Staff midwife Duffin.

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Anything I can do to help while I'm here?

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Dylan said it's definitely the smoking that's caused it.

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I know you're trying, but you're going to have to try harder.

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He said even if you smoke outside, it comes in on your clothes.

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Yeah, but Dylan's an old woman.

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Do you know what it felt like to have those doctors look at me

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and know I'd let my baby be harmed?

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Her lungs are so tiny.

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An 11-year-old girl that died from lung disease,

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that's Rihanna in a few years.

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Consider it a get-well-soon card.

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Well, well done, Miss Marple.

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Spot on.

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I haven't quit, as is my right,

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and now I'm going out for a lovely fag.

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The problem with women is

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they've got a habit of only hearing what they want to hear.

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You just told her you didn't want to break up.

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Come on now. There's only one way to interpret that.

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Ma-ma-ma-ma. Me-me-me-me-me.

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I tell you what, if you're so clever,

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why don't you go tell her for me?

0:19:340:19:35

Man up, will you? We're not 13.

0:19:350:19:37

Ladies and gentlemen...

0:19:370:19:39

..I have come here today...

0:19:400:19:43

to talk to you about...

0:19:430:19:45

Sorry, man, I've got to go.

0:19:530:19:54

I've got a party I've got to get to.

0:19:540:19:56

Look, Rita's a cool girl, you know,

0:19:560:19:58

so just be honest with her.

0:19:580:20:00

Sorry. I'm trying to give up but that smells so good.

0:20:160:20:19

Do you think there's something gloriously rebellious

0:20:190:20:22

about standing out here, puffing away,

0:20:220:20:24

while your child suffers in there?

0:20:240:20:26

If I throw you a bone, will you run away?

0:20:260:20:28

That baby didn't ask to be born, you know.

0:20:280:20:30

It's your duty to look after her.

0:20:300:20:33

Why do you care so little about the damage that you've done to her?

0:20:330:20:36

You pathetic fraction of a man!

0:20:360:20:37

She's innocent! She is a baby!

0:20:400:20:42

Why can't you love us...?

0:20:420:20:44

Why can't you love her enough to care?

0:20:460:20:48

HE WHEEZES

0:20:510:20:53

Dylan...

0:20:530:20:54

HE WHEEZES

0:20:550:20:58

OK, whoa, whoa, whoa.

0:20:580:20:59

The drugs should start helping soon.

0:21:080:21:10

We're feeling better already.

0:21:100:21:11

Glad you went back to nursing.

0:21:130:21:15

Duffy, I don't feel comfortable

0:21:170:21:19

being part of a risky pregnancy case.

0:21:190:21:22

That bad experience...

0:21:220:21:23

It's our job to deal with whatever comes in through those doors.

0:21:230:21:26

Chin up. You can do it.

0:21:260:21:28

Yeah, hi.

0:21:280:21:29

Can we focus on treating my wife, please?

0:21:290:21:32

Can you turn the volume on so I can hear him?

0:21:330:21:36

I love hearing his little heart.

0:21:360:21:38

-HEART BEATS VIA MONITOR

-There we are. Baby FM.

0:21:380:21:40

I could listen to that all day.

0:21:400:21:42

HEART RATE INCREASES

0:21:440:21:46

Soph, are you feeling more breathless?

0:21:460:21:48

No, I feel fine.

0:21:480:21:50

-What's happening?

-Heart rate's rising.

0:21:500:21:52

Louise, tell radiology we need that CTPA now

0:21:520:21:55

and inform the obstetrician we're going ahead.

0:21:550:21:57

-I'm not having that scan again.

-Do it.

-Please, stop taking over.

0:21:570:22:01

You NEED that scan.

0:22:010:22:02

We have to know what's going on.

0:22:020:22:04

If that clot is big, you could be in serious trouble.

0:22:040:22:08

All right, OK. First things first, Max.

0:22:080:22:10

-Shall we bin those?

-Yep.

-Thank you.

0:22:100:22:12

All right, let's start him on back-to-back nebulised salbutamol

0:22:120:22:15

and Atrovent, please, and I'll get him 24% O2.

0:22:150:22:19

He's dying, isn't he?

0:22:200:22:22

Look, Rihanna's only just got out of the woods herself.

0:22:220:22:25

She doesn't need to be seeing this.

0:22:250:22:27

Ask one of the nurses to take you to the relatives' room.

0:22:270:22:29

OK, we've got delayed cap re-fill.

0:22:290:22:32

Brian, can you hear me?

0:22:320:22:34

HE SPLUTTERS

0:22:340:22:35

Perhaps a less involved doctor should be leading this.

0:22:350:22:38

I'm not involved.

0:22:380:22:39

Oh, dear, that looks nasty.

0:22:530:22:55

Emergency C-section in case she deteriorates.

0:22:560:23:00

It is a big PE but her condition seems stable.

0:23:000:23:02

I think we should give the drugs a chance to work.

0:23:020:23:05

I can't imagine she'll be wanting a C-section

0:23:050:23:07

at seven months again either.

0:23:070:23:08

Surgery or medication?

0:23:110:23:13

There are risks with either.

0:23:130:23:14

GASPING

0:23:230:23:26

P 87.28, PC0 210.4.

0:23:260:23:29

No, no, I need more light, please. I can't see anything.

0:23:290:23:33

I can't make the bulbs any brighter, Dr Keogh.

0:23:330:23:35

Look, it's not happening.

0:23:350:23:37

You don't want to be responsible for your father's deterioration.

0:23:370:23:39

At the moment, I don't need the distraction, thank you.

0:23:390:23:42

Just go... Just get out! Get out!

0:23:420:23:44

Let's not make things worse.

0:23:440:23:46

Maybe go and get Rita.

0:23:460:23:47

Come on.

0:23:490:23:50

Come on, come on, come on.

0:23:500:23:52

You're going to split a vein there if you're not careful.

0:23:550:23:57

Dr Keogh, right now you're a son, not a doctor.

0:23:590:24:02

-Dr Keogh?

-Yeah, OK.

0:24:080:24:10

Ethan, can you do this for me, please?

0:24:100:24:12

Rita...

0:24:250:24:27

about what I said earlier...

0:24:270:24:29

You're right.

0:24:290:24:31

I can be a bit bolshie.

0:24:310:24:33

-You're not bolshie.

-No, I am.

0:24:330:24:35

I've just been mucked around one too many times, you know?

0:24:350:24:38

I got used to keeping my guard up.

0:24:380:24:40

I'm glad you can be honest with me.

0:24:400:24:42

It shows you care.

0:24:420:24:44

Of course I care.

0:24:440:24:45

Good, because, you know...

0:24:450:24:47

I really care about making this work.

0:24:470:24:50

Sorry, Rita...

0:24:500:24:51

..I know you've just finished your shift

0:24:520:24:55

but you're needed to take over from me in resus.

0:24:550:24:57

OK.

0:24:570:24:58

Are you all right resting up in the staffroom till I'm done?

0:24:580:25:01

-Yeah.

-Yeah?

0:25:010:25:03

I'll make you breakfast in bed.

0:25:050:25:08

What?

0:25:080:25:09

As if anything's ever kept a secret around here!

0:25:090:25:12

Oh, shut up!

0:25:140:25:16

Soph, Liam.

0:25:240:25:25

So, CTPA did confirm a large clot in your lung.

0:25:270:25:32

I'm sorry.

0:25:320:25:33

It's happening again, isn't it?

0:25:330:25:35

I'm not having a C-section again.

0:25:360:25:38

You'll do whatever's safest for you.

0:25:380:25:40

Liam...

0:25:400:25:41

You never wanted him in the first place.

0:25:410:25:43

We don't need you.

0:25:430:25:45

Excuse me.

0:25:500:25:52

I didn't mean that.

0:25:560:25:57

He knows.

0:25:570:25:59

I'll...

0:25:590:26:01

Your vital signs seem stable,

0:26:040:26:06

so the obstetrician and I

0:26:060:26:07

are continuing to treat the clot

0:26:070:26:09

with anticoagulation drugs for now.

0:26:090:26:11

Good.

0:26:110:26:13

The drugs are working.

0:26:130:26:15

I'm fine.

0:26:150:26:16

She's still very tachycardic.

0:26:160:26:18

Please.

0:26:200:26:22

He's only seven months.

0:26:220:26:24

Give him a chance.

0:26:240:26:25

You know, Brian's been trying so hard to quit.

0:26:310:26:33

He hates himself that he hasn't been able to stop.

0:26:350:26:37

Why are you here if you don't care?

0:26:390:26:42

It's the done thing, isn't it, whether you care or not?

0:26:420:26:45

Look, I get why you feel the way that you do,

0:26:460:26:49

but this hate for him...

0:26:490:26:50

Look, I don't hate him, Hazel.

0:26:500:26:52

I'm indifferent to him.

0:26:520:26:54

Well, I love him

0:26:540:26:57

and I don't want him dying with you hating him.

0:26:570:27:00

He's so ashamed of the mistakes that he made with you -

0:27:000:27:03

but you know Brian, he'll never admit it.

0:27:030:27:06

But I don't know Brian, Hazel.

0:27:060:27:07

That's the point.

0:27:070:27:08

He pulls through, he doesn't -

0:27:100:27:12

what difference does it make to me?

0:27:120:27:15

BABY COUGHS

0:27:150:27:17

It doesn't have to be like this.

0:27:180:27:20

It wasn't my decision

0:27:200:27:21

to be abandoned by my father when I was a child.

0:27:210:27:24

His decision for us to mean nothing to one another

0:27:270:27:30

has been out of my hands for 30 years.

0:27:300:27:32

Fine. Fine.

0:27:350:27:36

Ignore your dad.

0:27:360:27:38

You can't ignore your sister.

0:27:400:27:42

SHE CRIES

0:27:480:27:50

Half-sister.

0:27:500:27:51

SIRENS WAIL

0:27:550:27:58

I know it's tough on the dad, too.

0:28:030:28:05

She's blocked out what happened last time.

0:28:070:28:10

She could barely breathe.

0:28:100:28:12

We went up to the theatre.

0:28:150:28:16

It was all in Polish...

0:28:180:28:20

I mean, they were very nice.

0:28:200:28:22

They put this...

0:28:250:28:26

..this sheet up and...

0:28:280:28:30

..cut across her bump.

0:28:310:28:32

I kept expecting to hear him cry but...

0:28:340:28:37

..he was silent...

0:28:390:28:40

..and I knew he was dead...

0:28:420:28:44

..and Soph knew it, too...

0:28:460:28:47

..and he was.

0:28:500:28:52

He was blue...

0:28:520:28:53

-HE SIGHS

-..and still, but...

0:28:550:28:57

..I couldn't have been prouder of my boy for trying.

0:29:000:29:03

We called him Arthur...

0:29:070:29:09

..and we buried him.

0:29:120:29:14

HE SOBS

0:29:140:29:16

I couldn't do anything to make it better.

0:29:290:29:31

And all you can do now...

0:29:320:29:34

is love one another.

0:29:340:29:36

Yeah.

0:29:390:29:40

Yeah.

0:29:420:29:43

OK.

0:29:430:29:44

Right. Come on.

0:29:460:29:48

Tell them I want an obs and gynae consultant back down here right now.

0:29:520:29:56

My patient needs an emergency C-section prior to thrombolysis.

0:29:560:29:59

Duffy?

0:29:590:30:01

OK, you can go through.

0:30:010:30:03

Well, what's happened?

0:30:060:30:07

80/60 in less than ten minutes. She's stabilised, but for how long?

0:30:070:30:10

-Well, she needs a C-section.

-I know, but I can't get through to her

0:30:100:30:13

and the surgeons are already committed to another emergency.

0:30:130:30:16

We've got a small window to move her while she's still stable.

0:30:160:30:18

We can get her up to ITU to wait then.

0:30:180:30:21

You're her doctor, not her friend.

0:30:210:30:23

Make her listen.

0:30:230:30:24

OK, Soph.

0:30:320:30:33

The anticoagulation drugs aren't working.

0:30:330:30:36

They are. I can feel it.

0:30:360:30:37

No, they're not.

0:30:370:30:38

We need to treat the clot, so I have to get you upstairs

0:30:380:30:41

and perform a C-section first.

0:30:410:30:43

I want to move you while you're still stable.

0:30:430:30:45

He's staying where he's safe.

0:30:450:30:47

OK.

0:30:470:30:48

You tell me how refusing a C-section is helping your baby.

0:30:480:30:52

He's not ready.

0:30:520:30:54

Arthur wasn't ready!

0:30:540:30:56

Have you ever felt a baby being pulled out of you two months early?

0:30:570:31:01

They're your kid, they're dying,

0:31:030:31:06

and they know you let it happen.

0:31:060:31:08

If he's not ready to be born,

0:31:090:31:11

how is he going to cope if you go into cardiac arrest?

0:31:110:31:13

He relies on you for his every breath.

0:31:130:31:15

Sophie, you're not helping your baby, you're killing him.

0:31:150:31:19

Arthur was so scared. I could feel him.

0:31:190:31:22

And, and this one's scared, too!

0:31:220:31:24

Please. Please, trust me.

0:31:240:31:27

Let me take you up to ITU

0:31:270:31:29

while you're still stable enough to make the journey.

0:31:290:31:32

8mg IV dexamethasone to help mature the baby's lungs.

0:31:380:31:41

I'll give Nicu the heads up.

0:31:410:31:43

Let the registrar know we're transferring her to ITU

0:31:430:31:45

until an obs surgeon is available.

0:31:450:31:47

Everybody upstairs.

0:31:490:31:51

What do you need? Do you... Do you need these?

0:31:510:31:53

I don't know. A room with better ventilation?

0:31:530:31:56

Yeah, the gents' doesn't have one of those, um...

0:31:560:31:59

The, the changing flaps.

0:31:590:32:01

I'm responsible for a lot, Max, but not sexism in architecture.

0:32:010:32:04

-Do you want a nappy?

-Yeah.

0:32:040:32:05

-HE GROANS

-It's a bit stinky, mate.

0:32:060:32:08

BABY CRIES

0:32:080:32:10

I thought you'd be really good at this.

0:32:100:32:12

I'm good with kids, just not the...

0:32:120:32:14

stuff.

0:32:140:32:15

Excrement?

0:32:150:32:17

-She's your sister.

-Half-sister.

0:32:170:32:19

Dr Keogh?

0:32:190:32:20

I thought we'd better have a chat about...earlier.

0:32:200:32:23

I don't suppose you're any good with, er...?

0:32:230:32:26

Just hang on, Soph.

0:32:290:32:31

Oxygen back on, please.

0:32:310:32:33

Stay with him.

0:32:330:32:34

We'll all stay. Together.

0:32:340:32:36

Don't be scared. I'm not.

0:32:360:32:38

-Duffy, I can't keep up with these changes.

-Hang on!

0:32:380:32:41

70/40. Heart rate 140.

0:32:410:32:43

Soph!

0:32:430:32:44

She's arrested.

0:32:470:32:48

ITU or ED?

0:32:480:32:49

ITU or ED, Dr Gardner?

0:32:510:32:53

-ED.

-OK, excuse me.

0:33:020:33:04

Perimortem C-section, alteplase to break up the clot.

0:33:050:33:08

Call the anaesthetist, let theatre know.

0:33:080:33:11

Doors!

0:33:110:33:12

Ten years of medical training

0:33:160:33:18

and your big bro doesn't know how to change a nappy.

0:33:180:33:20

15 years' medical practise.

0:33:200:33:22

I think she likes you, Uncle Jacob.

0:33:230:33:25

Oh, I think she likes you too, Uncle Max.

0:33:250:33:28

Cuddles?

0:33:280:33:29

You don't know what you're missing.

0:33:310:33:33

So, how's your dad?

0:33:330:33:34

Um, I, I...

0:33:340:33:36

I don't know.

0:33:360:33:37

Rita and Ethan took over.

0:33:370:33:40

Apologies for...

0:33:400:33:41

No.

0:33:410:33:43

It was your dad that was on the table.

0:33:430:33:46

Must have been a very stressful situation for you.

0:33:460:33:49

It really wasn't.

0:33:490:33:50

I think Big Bro's telling porkies.

0:33:510:33:54

Very pithy, Jacob.

0:33:540:33:55

Would you mind? My baby-sitting duties are over.

0:33:550:33:59

There you go.

0:33:590:34:01

Could you find something to do with that?

0:34:010:34:04

Louise?

0:34:070:34:08

No pulse felt. PEA on the monitor.

0:34:080:34:10

Continue CPR. Where are obs and the neo-natal team?

0:34:100:34:13

Labour theatre ward, twins with complications.

0:34:130:34:16

It's been four minutes.

0:34:160:34:18

The clot's killing her. We'll have to start. Scalpel?

0:34:190:34:22

How is this happening again?

0:34:220:34:23

If you just wait outside the door for me, lovely.

0:34:230:34:25

This will only be a few minutes.

0:34:250:34:27

Making the incision.

0:34:270:34:29

Shouldn't an obstetrician be doing that?

0:34:290:34:31

Yeah, well, there isn't one. There's only me.

0:34:310:34:33

Until the baby's out, we won't get very far.

0:34:330:34:35

I'm cutting the muscle.

0:34:360:34:38

Here's the uterus.

0:34:390:34:40

Gently.

0:34:400:34:41

SHE GRUNTS

0:34:430:34:44

I see you, I see you, I see the feet.

0:34:450:34:47

OK, Duffy,

0:34:470:34:49

reach into the cavity and get this baby out.

0:34:490:34:52

I'm pushing on the uterus.

0:34:520:34:54

OK.

0:34:540:34:55

OK. There we go. Come on.

0:34:550:34:58

Out you come. Come on.

0:34:580:34:59

There we go. There we go.

0:34:590:35:03

He's so small.

0:35:030:35:04

Now we're going to clamp

0:35:040:35:06

and cut the cord.

0:35:060:35:09

There we go, all right.

0:35:090:35:12

Dr Gardner?

0:35:120:35:14

Too long without output.

0:35:140:35:15

He's not breathing.

0:35:160:35:17

Assist with the baby, please.

0:35:170:35:19

Pads.

0:35:220:35:24

No!

0:35:240:35:25

50mg of alteplase.

0:35:250:35:27

Let's get this clot blasted once and for all.

0:35:270:35:29

Won't she bleed out?

0:35:290:35:30

It's her only chance. Come on.

0:35:300:35:32

Let's get this baby up to Nicu.

0:35:320:35:34

Stat! All right?

0:35:340:35:36

OK, easy.

0:35:360:35:38

Easy.

0:35:380:35:39

I don't understand!

0:35:410:35:42

Your son needs you. Come on.

0:35:420:35:45

Hold on, Soph. Please!

0:35:450:35:47

Come on!

0:35:470:35:48

Your dad's dead.

0:36:130:36:15

What?

0:36:150:36:17

Not really.

0:36:170:36:18

He said I had to get you back for some voicemail.

0:36:180:36:21

He's not dead?

0:36:210:36:23

He's up and he's talking.

0:36:230:36:24

Dylan, you and I both know he probably hasn't got long.

0:36:260:36:29

We need you.

0:36:330:36:34

Pulse check.

0:36:430:36:44

Asystole. Give her more adrenaline.

0:36:490:36:50

What happened to the baby?

0:36:500:36:52

Just focus on the task in hand!

0:36:520:36:54

Quite a commute from New Zealand, isn't it?

0:37:150:37:17

Oh!

0:37:170:37:18

It's so good to see you.

0:37:200:37:21

Two months prem.

0:37:270:37:28

Well, who'd have thought your Paul would pull through the way he did?

0:37:300:37:34

What is he now, a strapping 16-year-old?

0:37:340:37:37

One day, I'll tell him who his star midwife was.

0:37:370:37:41

You better had.

0:37:410:37:42

You were in...

0:37:480:37:49

Auckland, the last I heard.

0:37:490:37:52

Two visits in one year?

0:37:520:37:54

Just a working visit again.

0:37:540:37:56

I'm doing agency shifts on maternity for the past week.

0:37:560:38:00

I wanted to make sure I still had it before I called you.

0:38:000:38:03

Who gave you the impression you ever had it in the first place?

0:38:030:38:06

SHE GASPS

0:38:060:38:07

You know, you've got a really good doctor in Elle.

0:38:090:38:13

Reminded me a bit of Baz -

0:38:130:38:15

not out for personal glory.

0:38:150:38:17

You can trust her.

0:38:170:38:18

Right.

0:38:200:38:21

So, are you, er...

0:38:250:38:26

Are you back in England for good?

0:38:280:38:29

No, no.

0:38:290:38:31

New Zealand's still home, but the kids are grown up now.

0:38:310:38:34

Ryan's away with work a lot

0:38:340:38:36

and I just thought, well, a quick break back to my old stomping ground

0:38:360:38:39

might be nice.

0:38:390:38:41

Poor bloke, eh?

0:38:470:38:48

All those hopes and dreams.

0:38:510:38:53

The future you plan.

0:38:560:38:58

I should imagine they'll put you on home oxygen, eventually,

0:39:040:39:08

as and when you stop smoking, that is.

0:39:080:39:10

I am going to quit.

0:39:110:39:12

Pretty sure I've heard that one before.

0:39:140:39:16

I thought I was going to die today.

0:39:180:39:21

I hate myself for what I've done to that poor little mite.

0:39:210:39:25

On this occasion, your smoking wasn't directly responsible

0:39:260:39:30

for her illness. But, you know...

0:39:300:39:32

It's just a matter of time, isn't it?

0:39:320:39:34

You can listen to my advice. I'm a doctor, you know.

0:39:370:39:40

In fact, it would be idiotic not to.

0:39:410:39:43

I do tell people about my son the doctor.

0:39:450:39:48

He tells strangers.

0:39:480:39:50

He's so proud.

0:39:500:39:51

I tried for a long time to be somebody you might tolerate.

0:39:560:39:59

There are things I want to put right,

0:40:030:40:06

if you'll help me put them right.

0:40:060:40:08

Stop CPR. Pulse check.

0:40:160:40:17

No output. Still asystole.

0:40:220:40:24

Continue CPR, give another shot of adrenaline.

0:40:240:40:26

Dr Gardner, her PH is less than 6.8, and potassium over 10.

0:40:260:40:29

I know.

0:40:290:40:31

Dr Gardner, do you want me to call the registrar and anaesthetist?

0:40:310:40:35

Stone heart.

0:40:450:40:46

It seems as though the chest infection just made the COPD worse.

0:40:570:41:01

Once you've had your breath of fresh air,

0:41:010:41:03

we'll admit you overnight into a general medical ward.

0:41:030:41:06

And then, hopefully, you can be discharged tomorrow.

0:41:060:41:08

We'll give you some Amoxil.

0:41:080:41:10

You could pop over, maybe,

0:41:120:41:14

check he's keeping his promise on the fags.

0:41:140:41:16

I'm sure we'll sort something out.

0:41:180:41:20

Your dad pulled through.

0:41:370:41:38

That's good.

0:41:380:41:39

Yeah.

0:41:410:41:42

Fancy a coffee, Max?

0:41:430:41:45

Yeah, sure.

0:41:450:41:47

Yeah, I know. I was just kidding.

0:41:470:41:49

No, er...

0:41:490:41:50

Game of chess?

0:41:500:41:53

Yes.

0:41:530:41:54

I was going to throw them away because, you know, I've given up.

0:41:570:42:01

Don't smoke, Max.

0:42:010:42:02

Tell Soph he's down but not out.

0:42:220:42:24

He's making her proud.

0:42:250:42:27

Liam...

0:42:370:42:38

You never know.

0:42:430:42:45

With a bit of luck, Glen might not show up.

0:42:450:42:47

He doesn't strike me as an early bird.

0:42:470:42:50

Don't be daft.

0:42:500:42:51

You know they love the stupid o'clock.

0:42:510:42:54

Cherish every moment, especially the inappropriate kiss ones.

0:42:540:42:57

Oh, Iain, congrats, by the way.

0:42:590:43:01

Rita's awesome.

0:43:010:43:03

Gossip travels fast.

0:43:030:43:05

Ah!

0:43:110:43:12

Triple shift has ended.

0:43:130:43:16

Get me out of here, babe.

0:43:200:43:22

Anywhere. Let's go anywhere where there's a duvet.

0:43:220:43:25

Rita...

0:43:310:43:33

Do you know...

0:43:330:43:34

..that I didn't think I'd ever have someone

0:43:360:43:38

I love to come home to again?

0:43:380:43:40

Rita, you are such an amazing, strong woman.

0:43:400:43:43

And if I could make this work for you, I would.

0:43:460:43:48

But I can't.

0:43:500:43:51

What we had was fun, but that's all it was ever meant to be.

0:43:550:43:59

Sleeping with you last night was a mistake.

0:44:000:44:02

I don't want to be in a relationship with you and I'm really sorry...

0:44:040:44:07

..but I never will.

0:44:080:44:10

That's fine.

0:44:150:44:16

Don't let today knock your confidence.

0:44:300:44:33

Sometimes there's nothing that can be done.

0:44:330:44:35

You held it together great.

0:44:350:44:36

Didn't feel like it.

0:44:360:44:38

You were chucked in at the deep end and you survived.

0:44:380:44:41

That's the knack to this place.

0:44:410:44:42

That, and the friends we make.

0:44:420:44:45

Yup, it's a special place, all right.

0:44:450:44:48

Rita?

0:45:030:45:05

What's wrong?

0:45:060:45:07

Can we go out for a drink later?

0:45:070:45:09

Robyn?

0:45:130:45:15

Oh, my...

0:45:150:45:16

He doesn't seem like the sort

0:45:160:45:18

who would throw kisses around willy-nilly.

0:45:180:45:20

Hiya.

0:45:210:45:23

Glen. Look, I'm sorry about last week.

0:45:230:45:25

Can we just forget it ever happened?

0:45:250:45:28

What, the kiss?

0:45:280:45:29

I've not stopped thinking about that kiss.

0:45:330:45:36

May I escort you to the Mortality Cafe?

0:45:380:45:40

Our new tradition?

0:45:430:45:45

-SHE CHUCKLES

-Yeah.

0:45:460:45:48

I heard about your patient.

0:46:040:46:05

Doesn't get any easier, does it?

0:46:070:46:09

Every decision...

0:46:110:46:13

..I tried to do the right thing for her.

0:46:140:46:17

Well, there was no right or wrong answer, really.

0:46:180:46:22

And blabbing to Hanssen.

0:46:250:46:26

I believed I was doing the right thing for the department.

0:46:280:46:31

I know...

0:46:310:46:32

I know I got it wrong,

0:46:350:46:36

but I believed I was doing the right thing, and I'm sorry.

0:46:360:46:39

I know.

0:46:400:46:42

Don't worry.

0:46:420:46:43

I've seen how you operate.

0:46:430:46:45

You're one of us.

0:46:450:46:46

Louise has heard from the neo-natal unit,

0:46:520:46:55

and Soph's baby is doing great.

0:46:550:46:57

Not out of the woods.

0:46:580:46:59

There's a way to go, but doing great.

0:46:590:47:02

Thanks, Charlie.

0:47:020:47:04

Oh.

0:47:040:47:06

Forgot my keys.

0:47:060:47:07

Hey.

0:47:100:47:11

I told the guys that we could

0:47:120:47:14

do breakfast at that Greek place we used to hang out at.

0:47:140:47:17

SHE LAUGHS

0:47:170:47:18

Thought you could do with it after the shift you had, Pancake.

0:47:200:47:24

Well...

0:47:240:47:26

let's hope Mr Mikononopoulos hasn't still barred us

0:47:260:47:28

for misusing the cutlery, Pudding.

0:47:280:47:30

Come on, man.

0:47:340:47:35

So, what was this I hear about you doing some weird vocal exercises?

0:47:390:47:45

You're not auditioning for The X Factor again, are you?

0:47:450:47:48

Really?

0:47:480:47:49

It's just a little presentation for the great and the good next week.

0:47:490:47:52

That's all.

0:47:520:47:54

Hey, um, do you think Mr Mikononopoulos

0:47:540:47:56

would like Big Mac's socks and sweaty gym shorts

0:47:560:47:59

in his cafe this morning?

0:47:590:48:02

Eurgh!

0:48:020:48:03

Behold! The sacred sock of Mac.

0:48:030:48:06

Mac!

0:48:060:48:07

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