Shock to the System Casualty

-Aw, thank you! Very kind of you to remember.

-Oh!

We're not a good match.

Yeah.

What? Er, there's two tickets.

I'm sure you can think of someone to invite.

Ethan cried it off at the last minute.

I can't bring a baby into this world and tell it,

"Your father didn't want me or you."

-Ah! Can you get Dylan, please?

-Yes.

-I think I'm having a miscarriage!

-Oh!

'The extensor muscles in the foot help the ankle raise the toes

'to initiate the act of stepping forward.'

ALARM BLEEPS

'The thenars are three short muscles located at the base of the thumb.

'The anterior tibial muscle enables the foot to move upward.

'The rhomboid major and minor flex,

'as do the trapezius and the levator scapulae.

'The median nerve innervates all the thenar muscles,

'every neuron in his body firing into gear.'

# Don't blame it on me, don't blame it on me,

# Blame it on the night... #

HE SINGS ALONG

Today's the day, Sebastian.

You're going to be awesome. You're going to be awesome.

PHONE VIBRATES

Dad?

Yeah, I'm not going to be late!

Bye.

Oh, sh...

'..rainfall on the Western Isles of Scotland...'

PHONE RINGS

'Mum? Happy birthday for yesterday! Sorry we didn't get to speak.

'Look, I'm going to be a bit late,

'I've got to talk to Archie's teacher.

'Be there as soon as I can. Bye, Mum, lots of love!'

SHE WHIMPERS IN PAIN

-SHE SCREAMS

-Fire! Help!

-ALARM BLARES

-Elena!

Don't worry, you're not being abandoned,

somebody's coming for you. I hope.

There you are.

The dog sitter didn't turn up. Didn't call, nothing.

Yeah, yeah, I'll hold, that's fine.

Well, if this new F1 ever turns up,

maybe you can put him on dog-sitting duties.

You think I'd trust her with an F1?

KNOCKING

Supriya!

Oh, my goodness. Help! Somebody call the fire brigade!

SHE SCREAMS

Help! Help!

SIREN WAILS

HE GRUNTS

So, when I woke up this morning, you'd gone.

Not even a goodbye kiss.

I didn't want to disturb your beauty sleep.

Well, I... I feel used.

You're a big boy. You'll get over it.

Well, you must have left in a bit of a rush to forget this.

-SHE GASPS

-Not funny! That is not funny.

Well, unless... Unless it was a hint. Maybe?

My man.

Please? There are unsympathetic eyes from upstairs

on this mentoring programme.

I just need a good, reliable doctor to mentor him.

I can't. I'm sorry.

I'm up to my neck with this CTR review.

That's fine, I'll do it. I'll... I'll mentor him.

But you're a senior clinician....

And you don't like people.

Well, I've been looking to get back to teaching.

It seems like a good opportunity.

So, yeah, just send him my way when he arrives, OK?

You heard what happened to Lofty, right?

Yeah.

Times like these, I wonder what Connie would do.

Yeah. I'm sure you've got it covered.

-How is she, by the way?

-Oh, she's doing good.

Say hi to her for me when you next see her.

Mm-hmm.

-Supriya? Can you hear me?

-You can't come through here.

No, that's my mum! Elena!

All right, Jez. Partial thickness burns, suspected NOF.

Grab the water-gel pads and scoop, please.

It looks like you got her out just in time.

Is she all right? What happened?

We think she'd fallen. Somehow managed to set the place on fire.

I've told her not to use those candles!

You sure these are the same clothes she was in last night?

I think so.

So she's been on the floor all night?

Yeah, can you check her out? Cos she just keeps coming back and back...

-Yeah, I know, I know.

-Yeah?

The thing is... Oh, just...

-Neil.

-It's Noel.

Hi. Erm... I'm the new F1. I'm reporting for duty.

Erm... Is Dr Gardia around?

-Gardner?

-Yeah, that's him.

Her.

Oh. Can't take anything for granted these days, can you?

-Dr Sebastian Grayling?

-Yes.

I'm Dr Gardner, Acting Clinical Lead. You're late.

Yeah, a thousand apologies.

You know, you wouldn't believe the morning that I've had.

Dr Dylan Keogh's offered to be your mentor.

He's one of our best clinicians.

Well, I was the best in my year, so we just became the dream team.

Dylan?

Him and Dylan?

It's a match made in heaven!

This is Sebastian Grayling, our new F1.

Pleasure.

Yeah, I got to say, I've really been looking forward to this ED rotation.

Been practising the lingo.

"Shocking!" "She's in VF!"

"Either she's dead, or my watch has stopped."

Tough crowd.

Marx Brothers fan. That was very good.

-Dr Keogh?

-Yeah?

-Isn't this Dervla's?

-Erm...

-Yes, but when I left her, she was on the other end of it.

-Well, I've looked. I can't see her anywhere.

Wait, you've lost your dog?

Now, listen, I wasn't doing

"no hands" till I was a lot older than you, OK?

-So you be careful!

-OK, thank you!

-All right, see you later.

-Bye-bye.

-Bye.

-Satisfied customer?

-We aim to please.

I've got something for you.

If it's another one of your jokes, I will pass.

I thought you could, er... keep it at mine,

to save you rushing off in the mornings.

Erm... Well, anyway, I'm free tonight if you...

you know, fancy a rematch.

Er, tonight, I can't. I'm washing me hair.

No. I actually am, though. It's like a biohazard.

Erm... But another time, though, yeah?

Yeah.

Oh, Cal. I've an elderly patient with abdominal cramps.

Can I borrow you for a second opinion?

-Is everything all right?

-I've just been turned down.

By a member of the opposite sex?

No! Wait! Do I hear the walls of Jericho falling?

So this is what it feels like. No wonder you prefer books to girls.

That's... Yeah. You are funny.

Yeah, well, she's your friend, so, you got any tips, maybe?

Alicia? Ah... Right.

I didn't realise...

Yeah, she stayed over last night, but she's not playing ball today.

-So...

-I mean, it's not a game, is it, Cal?

You see, that's where you're wrong, little brother.

It is all a game, and it's a game I really like to win.

OK, guys. Let's hear it, loud and clear.

Who's that?

He's the new F1. He's very keen, isn't he?

All right, this is Mrs Chhabra - she was found collapsed on the floor

and dragged to safety after sustaining partial thickness burns

to both her arms following a house fire.

Query fractured left hip.

GCS 14, slightly confused, BP 110 over 60, pulse 130, sats 89%,

resps of 25.

We've applied water-gel pads and given her one gram of paracetamol.

OK, on my count. One, two, three.

SHE MOANS IN PAIN

Sorry, my bad, as the kids say.

It's not us you need to apologise to.

Yeah, I'm sorry about that.

OK, on my count, please. One, two, three.

All right, and across, please. One, two, three.

SHE MOANS IN PAIN

Hello there, my name's Dr Keogh. Can you understand what I'm saying?

-Mmm.

-Yeah?

OK. Airway seems patent and clear.

Well, the good news is, those burns look superficial.

Have we got any medical history?

No. Not exactly. I can call the GP if that'll help?

She's got angina.

She's on isosorbide mononitrate, aspirin, and nitroglycerin spray.

She takes metformin and gliclazide for her diabetes,

simvastatin for her cholesterol, and furosemide for her ankles.

Mm-hmm. Wow.

She's been in St James' twice over the last few months.

They should have her notes.

Twice? Why?

She's fallen a couple of times.

Nobody called me.

Come on, Mintoo. Chin up, girl.

# We love to boogie, we love to boogie,

# Jitterbug boogie...

Resps 28. Sats 85.

Can we order an ECG, chest X-ray, and an arterial blood gas?

# ..on a Saturday night. #

She loves T-Rex. I had to lend her all my albums.

You see how that leg is externally rotated...?

Yeah, yeah, yeah. Broken hip.

No offence, I don't need a tour of the nursery slopes.

Are you sure? She's broken her hip?

We'll need an X-ray to confirm that.

Erm, can we carry on with the paracetamol?

Let's have FBC, U & E's, CRP, group and save,

and a Creatine Kinase, please?

You wanted a word?

Oh, yeah, can you ask security to have a look at the CCTV and

see if they can work out what happened to Dervla?

Sorry, Doc, but I'm pretty sure those cameras are never turned on.

What's the point of having them, then?

Yeah? Ask them to check anyway, please.

Hi there, I'm Dr Knight. How can I help?

Yeah, I've... I've dislocated me shoulder. Again!

This is Sid McCray, 48.

He fell backwards down some stairs, and landed on his right shoulder.

Well, I felt a bit dizzy, lost me footing, that's all.

His GCS is 15, BP 120 over 90, pulse 70, resps 16,

-sats 97, and the paramedics cleared his neck at the scene.

-OK.

-You work in that bar on Carlton Street, yeah?

-Yeah!

I thought I recognised your face.

Going to take good care of my Sid, yeah? He's precious cargo.

Well, we'll do our best. OK, Dr Munroe, how do you wish to proceed?

Er, bloods, U & E's, FBC, and book him in for X-ray.

Sounds good. And let's get an ECG.

You got to get me out of here quick. I've got places to be.

Sounds exciting.

-Yeah. I got a title to regain.

-You're looking at one of the best

bare-knuckle fighters in the country.

Dervla! Dervla!

It's vain hope, I fear...

Dylan, she'll turn up. She loves you. Weirdly...

Look, are you sure you don't want someone else

to mentor Dr Grayling?

No, I'm absolutely positive.

Well, with everything going on...

Is there a problem, Elle?

I heard what happened with Nurse Chiltern.

It's funny how the rumour mill goes into overdrive

when it comes to personal failing.

Look, the board are looking for any excuse to cancel this mentoring programme. You are a great doctor...

I made a mistake with Lofty - I pushed him a little bit too hard.

OK? It's not a mistake I'm going to make again.

I heard you singing to me. Thank you.

You're welcome.

Even if Marc Bolan's turning over in his grave.

Oi! You are going to hell, girl! You know that?

You go. Take care of your family.

YOU are my family.

Those kids need you more than me. Elena can stay with me.

I'll call when I get out.

Like you did when you fell?

Preethi! You're a very busy woman.

Mummy, when have I ever been too busy for you?

OK, my dear. X-ray are ready for you.

Robyn? Hey. You OK?

I... I'm fine. It's nothing.

Hospitals change, nurses don't.

Are you forgetting that I'm a nurse?

Yeah, but you're...

Oh, come on, lighten up, mate!

You better keep yourself in line...

or somebody else'll do it for you.

I wasn't... I'm not...

Look, don't go letting the side down. All right?

Let's go.

I thought this was illegal?

It's a grey area.

Ooooh! Ouch.

Here. They rushed his bloods through.

Great. Thanks.

It's like a dog on heat.

Well, I guess you don't get that kind of reputation for nothing.

Beautiful, isn't she?

All the blokes who go in that bar go in there for the same reason.

Well, your bloods look fine,

so it's just your shoulder that we need to deal with.

Unless there's something else?

Like what?

Well, you're rubbing your chest. If you're in pain...

You're as bad as she is. It's indigestion.

Yeah, just fix me shoulder and get me out of here, yeah?

Still no sign?

Hey, she can't have gone far.

No. It's not like her to wander off, though.

The fractured NOF's back in from X-ray, and her bloods are in.

We called it. Broken hip.

It's better to use the patient's name, yeah?

Bedside manner is very important in this department.

Yeah, well, trust me, when Grayling turns on the charm,

no-one's left untouched.

Yeah, equally important not to refer to oneself in the third person.

PH 7.2, lactate of 6, potassium 6.2,

so we need to chase up the U & Es, make sure the O2 levels don't fall.

I could talk to the family?

We could do it together.

I CAN do this. Where's the trust?

OK, fine, but if you have any problems, you come straight to me.

And be sensitive. Stick to the facts.

How is he? Do you know what's wrong?

Yeah, his self-diagnosis was right. It's a dislocation.

-So, we'll reduce it and, er...

-Nothing else?

-Why?

He's not been himself over the last few months. He's not sleeping.

Flies off the handle at the slightest thing.

Me and him used to be so good together, and now...

And he's not up to tonight. I know that.

No, he's not fighting tonight.

Even if we fix his shoulder, he'll still need to rest it.

Try and tell him that. Talk to him, please.

Cos he won't listen to me.

I don't think I'm the right person to...

You are. He likes you.

Please.

I'll... I'll do my best.

She wants to be careful. She might get the toothbrush treatment.

Did I just spot the green-eyed monster?

No. I'm the one who turned you down, remember?

So you WERE turning me down?

No, it... It's just not going to happen, is it?

-Why?

-Because you're Cal. The guy who sleeps with everyone.

Who flirts with patients' girlfriends.

Men like you are the reason women don't do relationships.

Wow. Erm...

Well, maybe I'm like Superman in reverse.

Take away the disguise, and you'll find Clark Kent.

You wish, mate.

Yeah, yeah, I know.

She's already been in A&E twice already this year,

and nobody's bothered to tell me.

Erm... Yeah, I've got to go.

You've got her results?

I'm so worried. I have no idea what's going on in that place.

Your mother's burns, they're going to heal, but unfortunately, yes,

she's sustained a fractured hip, and the orthopaedic registrar

will come and take a look at that, with a view to operating.

Is there something else?

I don't get why she's falling all the time.

Her liver function test is poor.

It... Could it be that she's drinking alcohol?

She doesn't. Well, she did when my dad died, but not any more.

The home know she's not allowed.

Unless...

I need to put a stop to this.

HE GRUNTS IN PAIN Right, there you go.

It's going to be sore for a couple of hours,

and you are going to need a check X-ray.

Yeah. Happens a lot.

The boys normally click it back into place

with me biting down on a towel.

Right, come on. Tell me what's going on with this chest.

Just sort out this X-ray thing, and get me out of here.

All right, look, if you want to kid yourself you're 25 again, go ahead,

but I'm not so easily fooled. Neither is your girlfriend.

Why? Why, what's she said?

Well, she's worried about you. She may not know what's going on,

but she's not stupid.

So, come on, let me help you.

You tell anyone, especially Leanne...

..and you will regret it.

It's ever since I've been taking these.

So we'll need to insert a catheter and we'll do

a repeat 12 lead ECG to assess your heart.

Nurse, if you can arrange that for me, please?

Yeah, but where's Dr Keogh?

He put me in charge.

Mum, is it true? You're drinking again?

She's getting you drink, isn't she? Because that's what the doctor says.

So much for confidentiality.

I only mentioned about your liver function test.

So Elena and I had a birthday drink.

I just want to enjoy the little time I have left.

Elena understands that. Why can't you?

Why don't we keep calm? I think your mother's very, very tired.

Her family are abroad. She's alone.

She's been a good friend to me.

None of this would have happened if it wasn't for her.

No. Elena's done nothing wrong.

Please.

I'll go and talk to her.

Hey, hey, hey.

Dr Keogh doesn't need to know about this little blip.

What were you thinking, talking to the daughter? SHE'S the patient!

All right, it's my first day.

Please?

How many times have I asked you to not buy her alcohol?

Mintoo likes the occasional glass of wine. What's the harm in that?

-Stop calling her that!

-She asked me to.

Look, can you keep your voices down, please?

That's her ring. Why have you got that?

She gave it to me.

That was her sister's. She wouldn't do that.

That's how you work, isn't it?

Gain their trust, and then take advantage.

No. I'm her friend.

I'm calling your boss.

See what he has to say about all this.

Let's just calm down, OK?

You want to know why she gave it to me?

Because of everything I've done for her! Everything you've NOT done.

Please! Stop this.

It's not about the occasional dash up the motorway or that weekly phone call.

You couldn't even make it for her birthday!

I had work.

I have a family.

That's a shame for both of you because it's about time spent.

Please. No more. Sit down. Sit down. Come on.

Just go.

I'd like to say goodbye to her.

No. You don't go anywhere near her.

I didn't know it had sentimental value.

Is it... Is it the baby? Are you all right?

I'm pregnant, David. Kind of comes with the territory.

You're taking four a day, every day?

She's a lady with a certain appetite. Always has been.

At least it could explain the chest pains.

These could be damaging your heart.

When she met me...

I was...

king of the hill.

Invincible.

Now look at me.

OK, Sid, um...

impotence is a common problem.

You know, just talk to her about it.

I'm sure she'll understand.

The ladies aren't after us for our conversation,

whatever they might tell ya.

What?

It could just be angina.

Or..?

Look, I'm going to need to investigate it further,

but there's something called Wellen's syndrome.

It's a severe narrowing of the coronary artery.

-What? Is it serious?

-Well, they often refer to it as the Widowmaker.

So, draw your own conclusions.

Well...what... When will you know for sure?

I'm going to need to do a specific blood test called

a troponin test, to exclude any damage to the heart.

No. No, no, I've got to fight tonight.

The fight's off, OK?

Until we find out what's going on with the heart.

No arguments, and no more of those pills.

No, listen... Listen to me. I need this fight.

Do you want me to get you a quick referral for impotence?

Cos I've got a mate I can call.

But no fight tonight - that's the deal.

Yeah.

HE SIGHS

Hi, this is Cal from the ED. Is Ben Rodker there, please?

Sure, yeah, I'll hold.

-Ben from urology?

-Yeah.

For Sid? I thought it was his heart?

Let's just say his one problem's caused the other.

Yeah. Our tough guy is not so tough after all. He's terrified.

Mmm... A sensitive soul, eh?

Just like his doctor.

If only his girlfriend knew.

OK, look.

If you want to believe that I'm the reason we wouldn't work,

then go ahead.

But the truth is, you'd run a mile, whoever I was.

No, I wouldn't.

Really?

When was the last time you were serious about anybody?

Hi, Ben...

We're going to make her as comfortable as we can until

she goes up to the ward.

SHE COUGHS

Mum, I'm here.

How are you feeling?

Elena? Where's Elena?

She had to go. She said to say goodbye.

-Why?

-I don't think she's good for you, Mum. She had your ring.

You know the one that your sister gave you?

This always reminds me of you.

You didn't give it to her, did you?

You are my only daughter. Everything I have is yours.

-Is Dr Keogh about?

-Yeah, he's due back any moment.

OK, erm... Tell him, good news. The hospital cameras were off,

but I phoned the pub and asked if they had their CCTV on.

They're sending it over now.

-They saw what happened to Dervla?

-Maybe.

I'm just heading out, so can you run these blood gases

through the machine, and I'll review them in a minute?

-Where are you going?

-Um... Call of nature. Just one minute.

-Did you talk to him?

-Er, yeah... It turns out he's getting chest pains.

He's never said anything.

I don't think he wanted to worry you.

But we're doing some tests, and they should tell us what's going on.

No wonder he's not been himself.

You know, it's just like him to bottle everything up.

The important thing is, we're treating it.

Oh, and good news, he's agreed not to fight.

What? And he's all right with that?

Yeah. No strenuous activity. Doctor's orders.

And if it was up to me, I'd never let him fight again.

Oh!

I've been so worried about him getting in that ring. Oh...

-You all right?

-Yeah. I just...thought it was me.

I thought I was the problem. That he didn't...you know...

want me any more.

Thank you!

Dervla!

Hi.

Dervla!

Doggy biscuits!

Snack time!

Where are you?!

Dervla!

SHE SPLUTTERS

-Nurse, there's something wrong.

-Oh, hang on.

Dr Keogh, her sats are dropping.

Well, where's her latest blood gas?

Her potassium's sky-high. Why did nobody page me?

Your F1 said he was checking it.

-Well, where's he?

-I don't know.

BLEEPING

Oh, she's in VT. OK, um,

let's get 10ml of 10% calcium gluconate, please, and start

-insulin dextrose.

-What's wrong?

Thank you for covering, Nurse. I'll take it from here.

Where were you?

OK, bye.

What's wrong?

Nothing.

This is not about what I said earlier, is it?

You really think a lot of yourself, don't you?

That was my mam on the phone.

In pieces.

How could he do this to her?

Turns out he's just like every other man in my life.

You know what? You're right.

Maybe I AM a bit messed up.

But so would you be if you had two parents at each other's

throats and a dad going through a mid-life crisis.

-I'm sorry, I wasn't thinking.

-Yeah.

So just do what you're here to do, and stop playing with my head, OK?

Have you any idea where Sid went?

What's got into him?

Ah, he didn't tell you, did he?

Damn it.

SHE SIGHS

Blood gases still no better.

What's wrong with her?

She's got an acute kidney injury, and her CK...

Yeah, yeah, OK... Yeah, yeah. It's, um...

a condition called pulmonary oedema. Fluid on the lungs.

Can you get rid of it?

We're trying, but, er...her urinary output is still very low.

SHE COUGHS

The medication that we're giving you will probably help with

the breathlessness, but I'm afraid your kidneys and lungs are failing.

Anything else,

any other treatment from here, is likely to be quite invasive.

I think...

It would be a good time now to clarify position with regard

to resuscitation.

No...no...I don't want it.

No.

No! What?

You can't give up!

Your mother signed a DNAR notice when she was admitted to

St James' - it's in her notes.

But... You've got me! You've got your grandchildren.

Things to live for.

It's time. Don't be scared.

I'm sorry.

Um... Shall we move her to resus two, and give you some privacy?

Sorry, Doc, I need to show you something.

-Not now, Noel.

-No, you really need to see this.

SIREN BLARES

Sid!

-Sid! Where you going, mate? Come on.

-Don't touch me!

What's got into you?

I saw you. Laughing about it all.

I knew you fancied her, but I didn't think you'd stoop that low!

-You're getting this all wrong.

-What is he talking about?

You're right, you're right, I'm old, but I'm not stupid.

All right, Sid! Hey! Trust me. I didn't say a thing.

-I'm late.

-You're not fighting?

-Yeah, you can't. You need treatment.

I'm a fighter. That's what I do. That's who I am.

That is not who you are any more.

You've no idea who I am.

Tell her, lover boy. Tell her.

She'll find out soon enough.

ENGINE STARTS

Nice work.

Is that a patient?

Who is that?

Sorry to interrupt.

Just to say that Mrs C is going through to resus...

I CAN explain that.

It was an accident!

Well, why didn't you say something?

I...I should have.

But I was trying to find Dervla,

and that's why I forgot about the blood gases.

Well...you've alienated the staff,

you've endangered a patient's life... I guessed pretty early

that you were a terrible doctor,

it turns out now that you're a ghastly human being, as well.

I'm not a terrible doctor. I could be brilliant...

I'm not sure that you're suited to an ED rotation.

Oh, come on, you can't.

HE SIGHS

My dad's going to kill me.

Please.

You stick to minors until further notice.

SHOUTING AND CHEERING

Cheers, mate.

PHONE RINGS

Sats are still dropping.

OK. Let's give her another 1.25mg of diamorphine, then, please.

Um, I'm going to give you some time together, OK?

Robyn, will you call me if anything changes?

Mum...

It's me.

Can you hear me?

It's all going to change.

I'm going to cut my hours.

We're going to do all the things you've always wanted to do.

Beautiful girl.

I have no regrets.

He's an idiot. Being embarrassed about something like that.

Well, he's not the first.

Pretends he's tough, and he's just a little kid deep down.

Terrified everyone he loves is going to leave him.

Well, we're all messed up, one way or another.

Wish me luck.

I hear there was nearly a bit of an incident.

A patient thought that Cal was flirting with his girlfriend.

It wouldn't be the first time.

I think he feels bad enough. Cut him some slack.

I hear that's exactly what you did.

What do you mean?

It's none of my business.

I just... I...don't understand why you'd let yourself down like that.

I think he's got enough notches on the old bedpost.

You're right.

It IS none of your business.

SLOW BLEEPING

What's happening?

She's gone into VT.

I can't feel an output.

I'm going to go and get Dr Keogh.

Remember, she's DNAR.

BLEEPING QUICKENS

She's gone into VF.

I need more time.

Please... I can't lose her like this.

You can't let her die! I'm her daughter.

I am begging you to save her!

Nurse, get the defib pads.

And now! The main event!

-Sid! Sid!

-I need to do this. Leave me alone.

You don't need to prove a thing! Not to me.

I'm doing this for me, not you.

The doctor told me what's wrong. I don't care. You hear me?

I don't care. I love you.

I just want you to be safe.

Sid "The Slayer" McCray...

versus Ruthless Doug Russell!

Sid! Please!

Please!

SHOUTING ECHOES AND DISTORTS

Forget it. It's over.

CHEERING

Baby!

Can you hear me?

Sid?!

Stand clear!

Charging.

Shocking.

RHYTHMIC BLEEPING

I've found a pulse, yeah, she's back.

Mum?

What is it?

Elena...

Where's Elena...?

What's going on?

She asked me to save her.

So I did.

You did what?!

-Right, let's get him through to resus, please.

-Sid McCray, 43.

About 30 minutes ago, he was punched and hit the deck.

-He suffered extensive bleeding from the nose.

-Yep.

We tried to stem that bleeding with pressure,

and he's had one litre of Hartmann's.

BP 80 over 60, pulse 110.

Er, bay three, and let's get his notes from earlier.

It looks a lot worse than it is, Doctor.

The other guy went for him as he tried to leave the ring.

You've got to help him!

OK, let's crossmatch four units of blood,

and run two units of O-neg in, stat.

OK, we need to maintain his BP, all right?

And let's get some nose packs, soak them in tranexamic acid,

-see if it helps form a clot.

-Right, his pulse is falling.

Right, I need a 12 lead, and his troponin results from earlier.

Now, please.

-Yeah, up!

-OK, on my count.

Supriya had full capacity, and she had given

a very clear DNAR instruction.

Which he would have known, had you been there to supervise.

He DID know!

And I asked specifically to be called if anything changed.

I was meant to be his mentor, not his chaperone.

We're taught to save lives. That's what brilliant doctors do.

No, no. Brilliant doctors put patients first.

This job is about serving THEM, not your career.

Patients deserve dignity and respect. Always.

Seb...

I'm going to suspend your rotation.

-Right, no...you can't. My dad...

-I have no choice.

It would appear Dr Keogh no longer wishes to mentor you,

and no-one else is willing.

Perhaps once the dust settles, things will change.

Thanks, Louise. OK.

His pulse is very thready.

His earlier troponin was 100.

Yeah, he's had an MI, exacerbated by the blood loss and the hypotension.

-OK, can we call the cath lab, please?

-Lost output.

RAPID BLEEPING Oh, damn.

Let's get another line in.

-Keep pumping the blood and give him 1ml of adrenaline.

-Sid! Sid!

Stay calm. Stay calm.

Come on, Sid... Don't do this.

'The limbic system supports emotion, behaviour and memory.

'it's links to the cingulate cortex can cause feelings like

'rejection, exhibited almost as physical pain.'

DOG WHINES

Dervla?!

Dervla?! Dervla, hey girl, hey!

Anything?

Come on, Sid! Give me something. Come on.

We've got an output.

All right, tell the cath lab he's on his way up.

Right.

HE PANTS

Told you - Superman and Clark Kent rolled into one.

She's so distressed.

I can assure you, she's not in any pain.

I was trying to do the right thing.

Letting her keep her independence.

Well, I'm sure she knows that.

Then, why does it feel like I'm being punished?

You're not.

She always said to me...

the hardest thing to accept is...

..sometimes nobody's to blame.

I never really knew what she meant until now.

Wise words.

Could you ask Elena to come in, if she's still here?

Of course.

It's OK, girl, it's OK.

DOOR OPENS

-SHE CLEARS THROAT

-What the...? You cannot...

Aw...

Hello, sweetie, there you are.

She's hurt, and I really want to help her.

Right. Well, I'd better get you some supplies, then.

Though I'm not sure we have anything that sticks to fur.

It's fine. Trust me.

OK.

I'll be back.

I'm going to get you right.

Are you sure this is OK?

She needs you.

Thank you.

She'd want you to have this.

Mintoo.

That's what her sister called her.

You should be there, too.

I just want her to be at peace.

She'd want the same for you.

# We love to boogie

# We love to boogie

# Jitterbug boogie

# All the pretty boogie

# We love to boogie

# On a Saturday night. #

CONTINUOUS BLEEP

Thank you so much.

You and your fella - you make a good team.

-Cal?

-Mmm?

-Oh, no, we're not...

Well, it's complicated.

It's only as complicated as you make it.

So, the consensus is that you were brilliant in there.

Oh, well...

And, erm... I didn't mean what I said earlier.

Hey, look, erm...

I know I made a fool of myself today.

I upset you.

HE SIGHS

And, yeah, you're right. We...

We're both messed up.

But...

we don't have to be.

And if we are, and we still can't change it,

then...

..let's just be messed up together.

Hey, look, erm...no pressure,

but I'm going to be in the pub at seven.

Hope you are, too.

He was great. I mean... Anyway, I've set up an emergency appointment

-with the vet. They're expecting you.

-Hmm.

Erm, Dylan, I know this doesn't in any way make up

for what happened this morning, but...

he was really wonderful with her.

-Mmm. Can I get one more, please?

-Yeah, sure.

Sorry. I had to, er...pop home.

Are you, er...going somewhere?

Change of clothes.

And I was thinking, you know,

if I don't have to leave early tomorrow, we could have a lie-in...

oh, and, er...

A-ha.

HE SIGHS

Have you seen Dr Grayling?

Ah, small resus. He insisted.

I didn't expect to find you in here.

I wanted to do the right thing.

Every day, my dad barks at me.

"What did you achieve today, Sebastian?"

That's an interesting choice of verb.

Hard to answer for, mothers and fathers.

For once, I...

I wanted to shut him up.

I wanted to say that I...

"I saved a life, so you go figure."

I got carried away.

OK. These are the ground rules.

There are no more smart aleck comments.

If I commend, or if I criticise, it is not personal -

it is an attempt to make you the best doctor that you can be.

You're talking about mentoring me again?

Those are the rules. You take it or leave it.

No, yeah, I take it! Yeah!

And...there is NO physical contact. Ever.

You understand?

Yeah.

Thank you.

'When the threat passes,

'cortisol levels fall and the CNS reaches a better sense of

'balance, cardiac rate slows, ready to face the next challenge.'