What Lies Beneath Casualty

-Please, just don't talk about my daughter like that.

-What's wrong?

Grace at the moment... she needs to be my priority.

So what are you saying?

I'm saying it's not going to work out between you and me.

Can we just forget it ever happened?

The kiss? I've not stopped thinking about that kiss.

Yeah!

Sleeping with you last night was a mistake.

OK, I don't want to be in a relationship with you,

and I'm really sorry,

but I never will.

SIREN WAILS

Ow!

There's an empty Entonox cylinder in here.

I'll need to go to the store again.

I hope you're ready to do battle, cos it's going to be a blood bath.

What are you talking about?

A very tiny one. I'm talking about chess.

I made a great move last night - took your final pawn,

made him beg for mercy.

Yeah, I know. I anticipated it, actually.

I took your bishop and there aren't any words for what I did to him.

Yeah, if we're going to do this, that's the kind of thing you need to work on.

So things are still a bit weird between you and Rita?

Weird I can handle, but she won't let me near her.

That's what you wanted, isn't it?

Oi!

-I'll get the trolley.

-Can you tell me your name?

Oxygen, Jez!

Have you taken anything? Can you tell us your name?

My dad. I need my dad.

All right, I've got her legs.

All right, sweetheart.

She's not breathing.

OK, let's get her up on three. One, two, three.

Go, go, go, go, go!

Out the way, please, coming through!

Hey, what have we got?

Pupils are constricted. I think it's a heroin overdose.

She got dumped outside. The car drove off.

She said a few words and then she started fitting.

First bed on the right. Straight through, please.

Come on! Come on! Breathe.

Move her across as soon as possible, please.

Quick as we can. On three - one, two, three.

Let's prep for intubation.

We're going to give her 1 milligram of adrenaline,

and 400 micrograms of naloxone, please.

-We're not going to get a line in here.

-OK, IO needle then, please.

You said she was talking? What did she say?

She asked for her dad.

And her singing was amazing, I'm telling you! Well, hello, Dolly!

I told you, stop calling me that, man.

Go on! Sing it for us.

No, no, no! Must we do this every time?

Oh, go on, we'll set you off.

# Jolene, Jolene, Jolene, Jolene!

# I'm begging of you Please don't take my man. #

What's all that about?

I think it's a song that she was singing in the pub the other night.

Karaoke or something.

Really? Is that all it takes? Some karaoke?

She was buying drinks right, left and centre as well, apparently.

Rita? Your eye! What's happened?

-I'm fine.

-No, you're not fine.

-Look, I've got to get back to work.

-Not until you tell me what's happened.

I don't want anyone to know.

Rita, you can talk to me.

Iain didn't do this?

No. Not that he'd do anything about it.

Then who?

It was my ex,

Mark.

Right, if he hit you, you've got to call the police.

No! No, it won't happen again.

How can you be so sure?

Because I dealt with it. I just wish I hadn't been on my own.

I can't believe... Iain knew this was going on?

Wait, isn't it your big presentation today?

Yeah, yeah, it's at four o'clock, I'm just getting some stuff.

Anyway, it's not a big presentation.

I knew it. You're bricking it, aren't you?

What? Are you joking?

Come on. Look at me. Yep! Your eye's twitching.

That only happens when you're really nervous.

No, no, no. What you see here is a tower of confidence, all right?

And my eye doesn't twitch.

Well, as I recall, it did when you gave that speech

to the school assembly on the last day of term.

How did that go? "My name is Jacob

"and I'm really scared."

Yeah, yeah. That was a long time ago! Anyway, you can't talk.

Don't make me re-enact your break-dance that you were doing.

Yeah, all right, all right.

It was the '80s. If you say you're fine with it, I believe you.

I'm fine.

This is Patsy Brown, 24, been involved in an RTC.

OK, there's some midline bony tenderness.

We'll send you for an X-ray, I think, to eliminate a fracture.

OK, well, we're going to keep your neck strapped up for now.

It's Patsy, isn't it?

Just don't move your head for the time being,

it might make things worse.

-Send her for the X-ray, please.

-OK.

Your eye looks pretty gnarly.

Yeah? You look pretty gnarly too. I like your clothes.

What are you? Goth?

Steam punk. My friend Donna and I make all our own designs.

Or at least, we did.

How do you mean?

We had a row and I moved all my stuff out.

I couldn't see out the back window and a stupid van drove into me.

You're lucky you weren't killed.

Actually, that is so true.

I'm just going to make a quick call.

-OK. Keep your head still, though, all right?

-Yeah.

RINGING

This best be an apolo...

Pats, what's happened?

I'm in Holby City Hospital.

-What?!

-I've been in a car accident. I nearly died.

Stay where you are! Obviously. I'm coming, OK?

Well, I could have.

No, OK.

She's been asystolic for 30 minutes, so I think we should call it.

No, no. Not yet.

David, we've corrected all the reversible causes.

Just a bit longer.

David. Let him call it.

Thank you. Time of death, please?

11.33.

I'll inform the police... and the coroner.

Can we see if there's any ID on her as well, please?

Try and find the next of kin.

Um...

..let me do that.

MACHINERY WHIRS, MUSIC BLARES

HE SIGHS

All right, people, I'm off!

Try not to miss me too much.

Somehow we'll cope.

You do know he's terrified, don't you?

Of what?

Public speaking.

Jacob's not afraid of anything.

Spiders, party poppers, umbrellas that just spring open.

And your point is?

My point is you should go with him.

Well, apart from having endless paperwork to do today,

it's an overnight stay.

So...get a room.

Trust me - he needs a friend to get him through this.

Well, then, you should go.

I'd just make fun of him, I can't help myself.

Whereas you would steady his nerves without wounding his pride.

Besides, the reputation of the department is at stake.

Did you manage to ID the girl?

Yes. Her name is Annie Meyer, and she'd just turned 19.

Any next of kin listed?

Yes, her father, Peter.

Do you want me to call him?

No. I mean, thank you, but I'll...I'll do it.

Good man.

RINGING

Peter Meyer speaking.

Hello, this is Staff Nurse David Hide.

I'm calling from Holby City Emergency Department.

Mr Meyer, I'm calling about your daughter, Annie.

If you could possibly...

Hel...

Hello?

He's hung up.

Oh, sorry.

Right, well, it looks like I'm coming with you.

What for?

It's important to the hospital that this presentation goes well, so...

And it will. I don't need a baby-sitter.

Fine. Like it or not, I need to make sure you're fully prepared, so...

Fine, if you want to waste your time.

Cab will be here in a minute.

We're not taking the train.

And I'm driving.

I need to go home and pick up some essentials first.

Yeah, he's been making her life hell.

What, and Iain just left her to it?

I know. I thought he was one of the good guys.

Rita. Have you seen Robyn?

Um, yeah.

I've got a delivery for you.

-Seriously? They're for me?

-Mm-hm.

"To my darling Robyn, may these brighten up your day the way

"you brighten up my life, all my love, Glen."

Isn't that the most romantic thing you've ever heard?

He's so thoughtful like that.

Yeah, you said.

And did I tell you he texts me every morning and last thing at night?

Yeah, you did.

They smell amazing. Smell them!

I'd thank you not to do that.

Rita?

Can I help you?

No, I just need to talk to Rita.

Well, obviously she's not talking to you.

What happened to her eye?

Oh, so NOW you're interested?

All right, listen, you two - I know we broke up,

but I still care about her.

Whatever keeps you sleeping at night.

You know it was Mark.

Excuse me? I'm looking for my friend, Patsy Brown?

She's been in a car accident.

You must be Donna. OK, she's over here.

Pats! You scared the life out of me.

Well, hello to you, too.

I thought you were at death's door.

I WAS.

Nearly. It was so harsh, Donna, honestly, I was like, traumatised.

My whole life just... flashed before my eyes.

-Does that actually happen?

-Mm-hm.

-Wait, was I in it?

In, like, flashback form?

Totally.

How long have you two known each other?

Can I just test? Give my hands a squeeze.

Since, like, birth, practically.

Yep. That's definitely going in the ugly album.

You know, I could do with some sympathy.

You don't deserve sympathy.

-You've been acting like a total diva recently.

-Excuse me!

I'm not the one who moved my idiot boyfriend into our flat.

Yeah, well, I'm not the one who threw a massive tantrum about it and crashed the car.

OK, it's really important we stay calm, because Patsy does need to stay still, OK?

Pity she doesn't need to stay quiet, too. I'm Theo.

The idiot boyfriend.

Have you forgotten something?

What do you want? Is it Annie?

Has something happened?

Come here!

You're going to pay for what you did!

Don't run away from me!

That'll only make it worse!

You're going to get what's coming.

Come here!

Come here!

I understand this is last-minute,

but they're very difficult to predict, so...

I'm very grateful, Nadia. Thank you very much.

POP MUSIC PLAYS

-Grace?

-Carmel, Carmel, do this!

Grace, sweetheart? I need to speak to you.

Grace, stop dancing, darling.

I need to speak to you. Can you turn that down?

OK. I've asked Nadia to look after you tonight. I need go away. OK?

It's for work and I know I promised I wouldn't do this,

-but it's very important. All right, sweetheart?

-OK.

You know, if you have to stay in the brace,

you should totally accessorise,

do some kind of Queen Elizabeth neck ruff thing.

With like, lace and everything? I am SO doing that.

What are we waiting for, exactly?

Oh, I don't know, maybe to find out if I'm like, paralysed?

-Please, you drove yourself here.

-Erm, because I was in shock.

If you must know, the pain's getting worse.

Really? Then you should tell someone.

Excuse me.

Everything all right?

Erm... It's hurting a bit more.

Really? Where?

Just, like, my whole neck and my hands have gone numb.

OK. When did this start?

Just now.

-Dr Keogh?

-Yup.

Patsy's experiencing numbness in her hands.

-OK. Are you having shooting pains down your arms?

-No.

Let me know if that changes.

Your X-ray was clear, but it's a bit of a concern.

We'll send you for an MRI and take it from there.

Donna, this is well scary.

If there's nothing on the X-ray,

then it's probably fine though, right?

Not necessarily.

All right. Thank you.

Have you got your whole wardrobe in there?

If you haven't noticed, it's raining.

Oh, so you packed a scuba suit, eh?

Can we go?

How'd it go with Grace?

Oh, you know, tears and tantrums, but, you know, she understands.

So...

Rita, can we talk?

We have nothing to say to each other.

Look, I know I messed up and I'm sorry.

-But we can still be friends, can't we?

-We were never friends.

In fact, it's hard to say exactly what we were.

All right. What happened to your eye? I know it was Mark.

Why didn't you tell me he was still bothering you?

Well, I'm not your problem any more, am I?

Rita, just let me help you.

I don't need your help, Iain.

You were pretty much useless in every respect

while we were together.

You are even less use to me now.

Come here!

You're going to pay!

What are you going to do now?

It's Annie, isn't it?

She's dead, isn't she?

You're gonna pay, it's all your fault.

Please, please!

I'm sorry!

Please! I'm sorry!

I'm sorry!

Please don't hurt me!

-CRUNCHING

-Ow! My arm!

Arrrghhhh! Help!

Help! Help me - please!

Please, don't leave me!

What are you, eight?

HE CHUCKLES

They're road trip sweets.

What? You ain't ever had...?

Never mind.

We may as well forget the whole thing anyway.

-What do you mean?

-We've got road closures. Now this.

It's going to take at least an hour for us just to get out of Holby. We'll never make it.

You just focus on your, er... wonderful speech.

We've got plenty of time.

-Well, let's hear it, then.

-Hm?

-Let's hear it.

No, no. It's already in my head.

No, say it out loud.

-That's the whole point of me being here.

-All right.

OK, erm...

Year on year, government statistics on gun crime go up,

they go down.

But does it reflect...

Does it reflect what?

Please help! There's a man in the storm drain down there.

-Show me.

-All right, I'll call emergency services.

OK, Patsy, are you ready to go up?

You can't just abandon me.

-We're just going to get some lunch.

-But what about my scan?

We can't come with you for that.

Look, we'll be here when you get back. OK?

Don't worry. I'm sure the scan will show there's nothing wrong with her.

You all right?

Erm... Actually, I need the toilet.

OK, I'll get you a bed pan.

Arghh!

Someone help me!

Patsy! What are you doing?

-I can't feel my arm!

-You shouldn't be sitting up.

Can we get this collar back on, please?

I only stepped out for a second. I was going to help you.

-I just... I couldn't wait.

-Easy, easy, easy. OK.

-Where is he?

-He was there. I don't know...

-Help!

-I'm coming to help you!

Hold on! I'm on my way.

-I'm coming.

-Help me, please!

Hello? Are you there?

-Help!

-Help's coming, all right?

-Somebody help me!

-Hang on!

-I can't see you. Where are you?

-Help me, please!

Whoa! Arghhhh!

-Where's Jacob?

-Got swept into the storm drain with him.

-Where does it go?!

-The river!

My arm! My arm!

I've got you, mate! Hang on. No!

Help!

Make for the bank, all right?

Make for the bank!

-Help!

-I'm coming!

'Please leave a message after the tone.'

Peter Meyer. He's still not answering his phone

and the police went to the house, but there was no-one there.

So...

Well, what do I do?

Well, you've done about everything you can, really.

We'll move her down to the mortuary now.

-He could still turn up.

-He has to!

Why?

I mean, why's it so important to you?

There's nothing worse than not being there for your...kids.

Have you got any?

Excuse me.

Jacob!

Oh, no. Can you see them?

This is hopeless!

There!

Jacob! Jacob, don't!

Jacob! Jacob!

No, don't you dare!

Hold on!

I'm coming to get you, mate.

I've got you. Hold on tight.

My arm! My arm!

Jacob!

Oh, no!

Where does this go?

Where does this river go?

They're heading for the waterfall!

Head for the bank! Over to the bank!

I don't understand how she could hurt her neck all over again.

I don't know. We shouldn't have left her.

I'm right here. You can stop gossiping about me.

I'm sorry. Are you all right?

No, I'm not all right. My neck's killing me.

I can get Dr Keogh to prescribe some morphine for you.

Can you still not move your arm?

Do you see me moving it?

-OK, Patsy. Give my hand a squeeze.

-She's just trying to help.

-It's all right. We'll have the results of the MRI soon.

-Good.

Then maybe Theo will finally believe

-there is actually something wrong with me.

-Patsy, stop it.

He's been really worried.

About what, exactly? His watch?

Because that's all he's been looking at.

Look, me being here is obviously making things worse,

so I'm just going to go.

-Theo...

-No, it's OK. I hope you feel better, Patsy.

-I'm sorry.

-I'll see you at home.

Nice you've actually got one!

Please, look, try to stay calm.

We never asked you to move out.

Maybe you should move in with your mum. You're starting to behave exactly like her.

He kissed me!

What?

Or he tried to, anyway.

I wouldn't let him because... Eurgh,

and also...I could never do that to you.

No. No, he wouldn't.

Donna,

this is me.

I wouldn't lie to you about something like this.

When?

The other night. We'd all had a bit to drink.

You'd fallen asleep on the sofa.

Why didn't you say something?

Because I didn't want you to hate me.

Patsy, I could never hate you.

I'm so sorry.

No. No, I'm sorry.

Jacob!

Can you see them? Can you see them?

Did they go over?

Jacob! Jacob!

Jacob!

Don't you ever do that again!

What did you think you were doing?!

It's OK. I'm a doctor.

His arm is broken.

Right. We can't treat him here. We need to move him. No, it's OK.

It's OK. I'm a doctor.

Let's get out of here.

He's totally going to deny it, though. I know he is.

I don't care what he says. It's so over.

Sorry to interrupt, but we've got the results of your MRI.

The previous X-rays were clear,

but this shows some bruising to the spinal cord.

We call it SCIWORA.

That's what's causing the loss of function in your arm.

Yeah, but bruises heal. I mean, it won't be permanent.

We're going to keep Patsy immobilised

while we speak to the neurosurgeons.

I will get better though, won't I?

Most do. It is difficult to predict though, I'm afraid.

Look, he said most people recover.

You'll be all right. I know you will.

And whatever happens, you've got me, right?

Right.

I'm just going to go to the loo, OK?

Pulse is low, but that's probably due to the cold. And, er...

I thought the fracture was best being manipulated by you.

-OK?

-OK, Mrs Beauchamp. I've got this, all right?

Thanks, Iain.

All right, Leo, mate, I'm going to have to put a splint on this.

-It's going to hurt. I'll get you some pain relief.

-No...

No opiates.

I was an addict.

OK. All right, I'll get you some Entonox, all right?

Sir, can you tell me your name?

You seem short of breath.

My chest hurts. I have angina.

OK, OK - we can help you with that.

If you just step up with me...

We may as well follow them back to the ED.

What? No, we can still make it.

There's no point.

My notes.

I thought you had it memorised.

I may have lied a little bit.

Get in.

We'll follow the ambulance.

But, er...get changed.

I don't want you ruining my upholstery.

Keep your eyes to yourself, Mrs Beauchamp.

Don't flatter yourself, Mr Masters.

SIREN WAILS

The ambulance went the other way.

I may have lied a little bit.

You fancy a pint later?

I think a few of us are going.

Nah. Just going to go home.

Come on, cheer up!

I know what happened to her was horrible,

but she told you herself, she's not your problem any more.

She is, though, isn't she?

As far as everybody else is concerned. And you.

What? No!

Look...

you never wanted a relationship with her.

All right, that's fair enough.

I let her down, Jez.

I didn't stop her ex from hurting her before, and now I can't.

Why not?

She doesn't want me to.

Then why'd she tell you?

Hey, welcome back.

We manipulated your arm and restored circulation.

The orthopaedics team will be able to take you up to theatre

a bit later on this evening, all right?

Looks like you hit those rocks pretty hard, Leo.

I'm going to get you a GTN spray to tide you over.

It... It would help us if you could tell us your name.

Peter Meyer.

I'm...

I'm Staff Nurse David Hide.

We talked earlier this morning about your daughter, Annie.

She's dead.

LEO SOBS

What was it?

Overdose?

Er...I'm afraid so, yes.

LEO SOBS Her heart stopped soon after she arrived.

We tried to resuscitate, but...

SOBBING

Are you all right?

MACHINE BLEEPS

He's throwing off ventricular ectopics.

Irregular rhythm.

BP has dropped.

OK, let's get a 12-lead ECG.

Leo?

Mr Meyer, the coroner will need somebody

to formally identify your daughter.

I can take you to her.

No.

I don't want to see her.

Patsy, I have to ask. Erm...

Before you went for your MRI...

..did you mean...

..to make your injury worse?

What?

Of course not.

Cos that would be really foolish.

I know.

I didn't think it would be serious.

Why risk hurting yourself at all?

Because I just wanted things to stay the way they were.

Just for a little while longer.

And, er... And this morning, the numbness - was that real?

I looked it up online.

SHE SIGHS

I suppose you think I deserve this.

(No.)

No.

SHE SIGHS

But, erm... But Donna - she doesn't deserve to be lied to.

Well, I'm not lying any more.

Really?

What you said...

about Theo?

SHE SIGHS

Oh, Patsy.

I know you want to hold on to your friend...

..but this isn't the way.

And it's not too late to tell her the truth.

Looks like left bundle branch block.

I'm worried about a contusion.

We'll give him a bolus of 250ml normal saline.

You know what? Let's do the echo now.

Are you sure you won't change your mind, Mr Meyer?

You said you'd give me another GTN spray.

Ventricle's impaired.

Global hypokinesis.

I tried to get her off it!

Lots of times.

She just couldn't stop.

Leo, now's not the time.

I had to get away while I still could.

So she was the one holding you back, is that it? You've moved on?

Mr Meyer. Mr Meyer, please.

-You were the one that got her hooked!

-I'm so sorry.

CHARLIE: BP's dropped.

Must be a myocardial contusion.

He's had a run of VT.

BLEEPING

-What's happening?

-He's in VF.

Charging.

Everybody stand clear.

BLEEPING Clear.

DEFIBRILLATOR SHOCK

LONG BLEEP

I'm totally going to stay with you for the whole time you're here.

And listen, don't worry -

Theo's going to be long gone by the time you get home.

-Donna...

-From now on, it is just going to be us.

You know, sisters before misters.

Donna, I'm so sorry.

For what?

Theo never made a move on me.

I made it up...

..so that you'd break up with him.

I could see how much you loved him,

and I didn't want you pulling away from me.

I've been so stupid, Donna, and now I'm scared I've really hurt myself.

Did you do this on purpose?

SHE SIGHS

Donna...

-Donna...

-No.

-Please!

No. Do you know what? You've made your bed, Patsy. You lie in it.

SHE SOBS GENTLY

MACHINES BLEEP

HE SIGHS Nothing.

He's still in VF.

Charging.

-Clear. BLEEPING

-Shocking.

FAINT BLEEPING

Ah, we have an output.

Mr Meyer, no, don't. Please don't go!

-Just leave me alone.

-No, I can't. Not until...

When last did you see her?

-What the hell has that got to do with you?

-Nothing. I just think...

-If that were my child...

-Then what?

You'd have done something? Is that it?

No.

No, that... That's not...

I'm... I'm sorry.

I kicked her out.

She was my only child, and I gave her up when I should've...

I don't deserve to be anywhere near her.

She asked for you.

It was the last thing she ever said.

She's still waiting for you.

MEYER SOBS

APPLAUSE

Ladies and gentlemen, please welcome our guest speaker,

Staff Nurse Jacob Masters.

APPLAUSE

Go on. You can do it.

CLEARS HIS THROAT

Erm...

-WHISPERS:

-My name is, er... Jacob Masters.

I'm a staff nurse...

-LOUDLY:

-I'm here today...

-SPEAKER FEEDBACK

I'm here...

to talk about gun crime.

SHE MOUTHS

Right, erm...

Year on year...

..government statistics on gun crime go up, and they go down.

But does it really reflect what's on the ground?

Well, the truth is...

SHE MOUTHS

..there are thousands of...

..recorded incidents...

..and...

countless more that go unreported.

How... How do we deal with it?

MEYER GASPS

Take as long as you like.

MEYER SIGHS

MEYER SIGHS

Oh...

MEYER SOBS

Oh...

MEYER SOBS

I mean, all things considered,

I'm amazed I could read any of your waterlogged notes.

I was bad, wasn't I?

No.

No, it was, er... You were quite...

Yeah.

Yeah, it was bad.

Hello, there. Will you be staying with us this evening?

Hi, I'm Jacob Masters. I have a room booked for tonight.

And I'd like to book a room, please.

Oh, I am sorry, madam,

but I'm afraid we're fully booked - because of the conference.

Well, I'm part of the conference. I'm sure you can find something.

I'll have a look, but I...

-You could take my room.

-Hm?

I'll drive back tonight.

What, and leave me stranded? No thanks.

Unless...

The room Mr Masters is booked in is adjoining to an en-suite.

We usually save these for families,

but as we're busy, it's first-come, first-served.

-A shared room?

-No.

Just a shared door.

I thought you'd gone home.

I wanted to, but...

Has, erm... Has Patsy been transferred?

Yeah, upstairs - neurosurgical ward.

I said I could never hate her, and I don't, but...

..things really need to change.

I think she knows that.

She took it too far today...

..and she's paying for it.

DONNA SIGHS

Neurosurgery ward?

Keller. Third floor.

Jez, have you seen Iain? I need to speak to him.

You're too late. You just missed him.

Too late for what?

Er...

Jez?

I'm not supposed to say.

-What?!

-He's, erm...

He's gone after that ex of yours.

No. Oh, no, no, no, no, no!

No!

-No!

-What?

Oh, no...

We have got to stop him!

Why?

Well, this is me.

We could maybe grab some dinner later?

I've got loads of paperwork to catch up on, so I'll, er...

probably get some room service.

-Cool.

-OK.

-See you tomorrow.

-OK.

KEYCARDS BLEEP

Where's Rita? We were supposed to be cheering her up.

I know what'll do it - another karaoke night.

Yeah, I don't sing, though.

I never sing.

Iain! No! Stop! Please!

Stop!

-What are you doing?

-I can't let you go after Mark.

Rita, he's not going to get away with it. Not any more.

-He didn't do anything. He didn't touch me.

-He gave you a black eye!

I bumped into a wing mirror.

That isn't what you said.

I let you think that.

It was wrong. I'm sorry.

Hang on a minute.

What about all the phone calls?

And him slashing your tyres?

Oh, so there's more lies?

Please, Iain, can we just go and talk somewhere else?

No! It's too late for that.

Did he slash your tyres or not?

No.

It was a patient.

I don't believe this.

You know I was going to knock seven bells out of him?

-I'm sorry.

-Sorry?!

I could've lost my job. I could've gone to prison!

I never wanted you to go after him.

I just wanted you to feel bad for leaving me.

That's pathetic!

-Iain...

-You're insane!

People around here need to know who they're working with.

No, no! Iain...

Just get some help!

Stay away from me.

ENGINE STARTS, HE DRIVES OFF