Strike Three Casualty


Strike Three

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Grace Beauchamp, ten years old, involved in a high-speed RTC,

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transferred by an air ambulance, which crashed.

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HIGH-PITCHED SQUEAL

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Traumatic brain injury.

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Chances? It's not looking good.

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You're going to have to tell her that Grace might not be all right.

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Two poxy years, that's all he's got.

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730 whole days, Robyn.

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Make it count.

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You need to rest.

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No, I'm fine. No, you're not fine.

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There's a Band 7 spot that's opening up.

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Oh, no, my days in the ED are long over.

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We could really use you.

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We're running out of time.

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It's OK, I've got this.

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She's so cold.

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It's too late.

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Just let me go.

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Just let me go.

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ECHOING: No!

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No!

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No! Connie?

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Connie?

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Are you OK?

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D-Do you want me to get you a doctor?

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Why, what's happened?

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Nothing, it sounded like you were in pain.

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You try sleeping on this.

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SHE SIGHS

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Guy ran an EEG yesterday?

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Yeah, there was, uh...

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..some runs of seizure activity,

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but the EEG is becoming more normal.

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So, her brain's functioning?

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Well, we won't know until she wakes up, so...

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But if her intracranial pressure's dropping, then that means they must

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be thinking of reducing the anaesthetic -

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bring her out of the coma?

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It's been discussed, yeah.

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I'm afraid they've run out of milk so black is the new...latte.

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There we go.

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Sorry, I didn't know what time you were arriving.

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You'd better have this. Oh, it's good, I'm OK.

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No, go on.

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It's not pretty but it's strong.

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I'm sure your brain is still five hours behind your body.

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Right, I'd better get on.

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You know where I am if you need me.

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You know, you didn't have to walk me all the way to work.

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It means I get to spend more time with you, doesn't it?

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I'm sorry my shifts have been so crazy.

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Don't worry about it.

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Right then, I'll see you in T-minus 12 hours.

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You're sure you don't mind?

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If you're in your bed and I'm in mine,

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then one of us is in the wrong place. Come here.

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See you later. See you later.

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Looks like there's a storm brewing.

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Really? I hadn't noticed.

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Uh-huh, because you definitely have your head in the clouds.

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What time is it?

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Seven.

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What happened to, "Goodbye tension, hello pension"?

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Today's the first day of the rest of our lives.

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SHE GROANS

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What have you done with my clothes?

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Where we're going, we don't need clothes.

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Jan!

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There's a pile for charity in the spare room.

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We'll go shopping this afternoon,

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get you kitted out for the trip.

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What do you think?

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I'm calling it Capri Sun.

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Isn't that a sort of juice?

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I thought we could take one last dip, then it's out of the hot tub,

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into the hot springs.

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Have you looked out the window?

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A bit of rain never hurt anyone.

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Last one in is an old git.

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Ah, tell me you haven't spent all night in ITU.

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Tell me you haven't accepted a job here.

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Is that this morning's crossword?

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Curious to a fault, four letters.

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Come on, Charlie, when did you last get a proper night's sleep?

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Ah, sleep's overrated.

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Any news?

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Yeah, how's Mrs Beauchamp doing?

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Sorry, not much to report at the moment.

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But then they do say no news is good news, don't they?

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THUNDER ROLLS

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Ooh, hoo-hoo!

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WATER FLUSHES

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Jan!

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Still waiting, Roy boy. THUNDER ROLLS

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Come on in, the water's fine.

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Bene dell'acqua.

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Bubbles provided,

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no need to contribute.

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Come inside.

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I don't want to, you can't make me, I'm retired.

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For goodness' sake, Jan, the storm's very close.

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Life isn't about waiting for the storm to pass, Roy.

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AIR BUZZES

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It's about dancing in the rain.

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Get in here, you daft woman!

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THUNDER CLAPS

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That was incredible!

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Did you see that, Roy?

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Roy?

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Roy!

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SIRENS WAIL

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THUNDER ROLLS

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That'll be Charlie cracking the whip.

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Can't miss breakfast.

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Isn't it weird how Alicia labels her food?

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Oh, mate. I think it makes it taste better.

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Makes it taste beautiful.

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Jez, can we get started, please? Yeah, yeah, yeah.

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RADIO: '3-0-0-6 from Control,

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'emergency call to assist in Sandham Hill,

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'male with lightning strike injury. Patient is conscious, over.'

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Ready to roll, boss?

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Iain?

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What? '3-0-0-6, have you received our last message? Over.'

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Well, don't leave the man hanging, come on.

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3-0-0-6 to Control.

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Can you repeat that? Over.

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Her lips are so dry.

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Make sure she gets hourly mouth care.

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Her sheets need changing.

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Of course, Mrs Beauchamp.

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I'll take that.

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Haemoglobin's 11.

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She's on fluids, together with daily blood tests.

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12, 11.5, 11.

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It's been consistently falling for a few days.

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Which makes sense given haemodilution

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and her other injuries, daily blood tests. No, get Guy in here.

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Connie, this isn't your department.

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It could be an occult bleed.

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You're overreacting.

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She needs a CT, chest, abdo and pelvis. Now!

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THUNDER ROLLS

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Help! Please, he's on the conservatory roof.

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You've got to hurry.

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Right, we need the fire crew, please, Jez.

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He's confused -

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he can't move his legs.

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Where did he fall from?

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And he was hit by lightning?

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I think so, but he was inside.

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Lightning travels through pipes, electric cables,

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metal window frames.

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Anything conductive is fair game, really.

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The fire lads are on their way. Good.

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Roy, don't move!

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OK, we can't wait. Have you got any rope or anything?

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I need to get him secured before that glass gives way.

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Looks like a severe sprain but she is Ottawa positive

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so let's do an X-ray to make sure it's not a fracture, all right?

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Charlie. Yeah.

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Bacon, extra brown sauce. I'll leave it in the office.

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Keep it.

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You've got a full house upstairs.

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Sam's here?

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Flight arrived this morning.

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Any change in Grace?

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How's Connie coping?

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Your guess is as good as mine.

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You sorted that X-ray yet, David?

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Yes, yes, X-ray...

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We're all hoping for good news.

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Same time tomorrow?

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You sure you're up to it?

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Same time tomorrow.

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Easy, Iain, easy.

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Careful, mate.

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GLASS CREAKS

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Iain, are you OK?

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Yeah.

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Yeah, all good.

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You shouldn't be here.

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It's OK, Mr Hills. I'm a paramedic, all right?

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I'm here to help you. What's happening? Is he all right?

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Yeah, almost there, Mrs Hills. Just give me a minute.

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I won't tell you again, Tom.

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OK, I need you to stay nice and still for me, Mr Hills, OK?

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Nice and still. I said get back!

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GLASS CREAKS

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No, no, no, no, no!

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Oh, no! Roy!

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Mr Hills, don't try to move, stay very still.

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She needs surgery. I have a theatre slot this afternoon.

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And you'd do the operation?

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Is that a problem?

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Her cerebral pressure is the problem.

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Putting her on bypass is questionable at best.

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Risk-managing my specialism again, Mr Self?

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I thought after what happened last week...

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That's hardly relevant.

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Sorry, guys, but what's going on?

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It seems Grace has a small tear on her aorta.

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Are you all right, Mr Hills?

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ROY: Careful, Tom, easy does it.

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He mentioned Tom earlier.

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Tom's our son.

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He died ten years ago.

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He never talks about him.

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This confusion, is it just temporary from the shock?

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Excuse me? This confusion, is it just temporary?

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Iain! THUD

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Mrs Hills, I'm so sorry.

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It's my fault. Are you all right?

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I'm fine, just...just look after Roy.

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Are you sure? Please.

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OK, eh, Jez, we need to switch - you drive.

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What? Why?

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It's a complicated case.

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Mate, I've got it covered.

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I haven't got time to argue.

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How was this missed?

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There was nothing on Grace's initial films.

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A pseudoaneurysm has formed around the tear

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so any bleeding, thus far, has been minimal.

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Guy's right, we wait.

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The aneurysm could expand and rupture.

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You of all people should know the implications.

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The swelling on the brain is decreasing.

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Well, exactly, so, if we can give her more time to heal...

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Mr Self has a history of poor judgment

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when it comes to cardiothoracics.

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Given your recent track record in theatre, I...

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Her aorta needs to be our priority.

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What is the point of a functioning heart without a functioning brain?

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Says the man who has neither. Right, stop! Stop! That's enough.

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I'll book theatre.

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I'll give you a few hours to decide either way.

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Right, thank you.

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I'm sure if we put our heads together...

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No, this is my decision.

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Connie, I'm her father.

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You were a sperm donor, nothing more.

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Connie. No, not now, Jacob.

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SIRENS WAIL

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What on earth?

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They're called Lichtenberg figures,

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they're ruptured capillaries from the electrical charge.

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It's just superficial.

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All right in the back?

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HEART MONITOR BEEPS

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He's in SVT.

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What does that mean?

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It means your husband's heart is beating very fast.

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Right, I need to start carotid massage.

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Can we get there ASAP, please, Jez?

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DOOR CLOSES

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I'm so sorry, Connie.

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If there's anything I can do...

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What are you researching?

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Time.

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Time?

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Any more than 45 minutes on circulatory arrest could affect

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Grace's neuropsychological function, and if they run out of time...

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Why would they?

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"Prolonged DHCA can trigger biochemical alterations and

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"cau...cause n...

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"neuronal degeneration, cell death, or both."

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Jac's an experienced surgeon.

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It's not an exact science.

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You should prepare for all eventualities

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but you need to focus on the most positive.

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Look, I know this is difficult but that's the kind of advice we give,

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day in, day out.

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I need some air. I'll come with you.

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No, no, please.

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Look, I'll go to your place,

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check your messages,

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get you a change of clothes.

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It could be a long night.

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Right, this is Roy Hills, 70.

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Contact injuries from a lightning strike,

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followed by two falls, both of three metres.

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His BP dropped to 80/40 during a run of SVT en-route,

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we rectified that with some carotid sinus massage.

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GCS 14, he's complaining of superficial cuts

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plus weakness in his legs.

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Dropped from what?

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Pulse 116, his sats are 96%. Right, which bed, please?

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Two. What was his initial BP?

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Right, bed two. 140/85.

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He'll need a full trauma survey, urgent repeat ECG, chest X-ray...

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He's back in SVT. 6mg of adenosine, please.

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PHONE CHIMES

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Still in SVT despite 18mg of adenosine.

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OK, we do need to cardiovert him.

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Do you want sedation? Yep, 50mg of propofol.

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Will somebody tell me what's happening?

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OK, we're going to shock your husband's heart

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so that it can go back into a normal rhythm.

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Set the defib to synchronised shock, charge to 100.

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Charging. DEFIBRILLATOR WHINES

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Clear.

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Shocking.

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SHE GASPS

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100 given, no change.

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Charge to 120.

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Charging. Clear.

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Shocking.

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Back in sinus.

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Hey, Charlie.

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Yeah? I just saw Mrs Beauchamp, she looks terrible.

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In the department?

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Yeah.

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Do you think something's happened?

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Well, let's not go jumping to conclusions, shall we?

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Have you pulled up that X-ray for me?

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Right, let's go have a word with Mrs Austin.

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Hey, um, how's he doing?

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Who?

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Your patient, the lightning guy.

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Oh, um, yeah, still early days yet.

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Any interesting symptoms or side-effects?

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Like what? Oh, I dunno,

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can he generate and magnify external localised

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electromagnetic phenomena by manipulating

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intense bio-electric fields generated by his body, for example?

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If you mean has he turned into Thor, then no.

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Black Lightning actually - a true hero.

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He restarted Superman's heart and he's Batman-trained in close combat.

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Right, he's also fictional, yeah?

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OK, Mr Hills, your heart is back in a stable rhythm.

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But your BP is still a little low so no sudden movements, please.

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He was very confused earlier.

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Stop fussing, Jan.

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There are some temporary symptoms associated with lightning strikes.

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The current may have blown a couple of fuses.

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You gave me such a shock.

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No sense of irony, my wife.

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OK, chest X-ray, echo and bloods look good. Urinalysis was NAD.

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Robyn, make a start on Mr Hills' facial lacs

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and I'll make arrangements with CCU.

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I won't be long.

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We're supposed to be flying to Italy tomorrow.

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I'm guessing I'll need to contact the airline and reschedule.

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Once we've found a bed for you upstairs

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then you will be admitted, overnight at least.

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You should just cancel it.

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Why would I do that?

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Can't you see this was a wake-up call?

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A bolt from the blue?

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You've been promising me this trip for over a decade.

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As soon as you retired, you said.

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The universe has shaken you to awaken you.

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It's a dangerous world out there, Jan.

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Work was just an excuse, wasn't it?

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You never had any intention of going.

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I don't want to, you can't make me, I'm retired.

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I've had years of this.

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He never wants to go anywhere, do anything.

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What's Italy got that Holby hasn't?

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Let's just keep this nice and calm, OK?

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It's OK, I'll go.

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Leave you in peace.

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ANSWERING MACHINE: You have one new message.

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Message one.

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JACOB'S VOICE: We've got Steph in Resus and she's in a bad way.

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You're not answering your phone, where are you?

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You need to call me as soon as you get this.

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I'm really worried about you.

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SHE COUGHS LIGHTLY

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Are you all right?

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Have you got someone here?

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My, um... My daughter, Grace, she's in ITU.

0:21:000:21:04

Oh, I'm sorry.

0:21:040:21:05

What's she like, Grace?

0:21:120:21:14

It's hard with all the...

0:21:180:21:21

tubes and the machines,

0:21:210:21:23

but who they are is just as important as how they are.

0:21:230:21:28

Doctors and nurses forget that sometimes.

0:21:290:21:32

She's very smart.

0:21:370:21:38

Mm.

0:21:400:21:42

Very funny.

0:21:430:21:45

SHE GASPS SLIGHTLY

0:21:450:21:47

And very pretty.

0:21:470:21:49

She plays the violin badly.

0:21:490:21:51

I think it's on purpose most of the time.

0:21:510:21:54

And now she wants a puppy,

0:21:540:21:55

of course, I've told her she can have a puppy.

0:21:550:21:58

Does she often get her own way? Oh, all the time.

0:21:580:22:00

So, she doesn't give up easy.

0:22:010:22:03

Is her father here?

0:22:090:22:10

It's complicated.

0:22:130:22:14

SHE COUGHS HALTINGLY

0:22:150:22:17

Don't do this on your own, not if you don't have to.

0:22:180:22:22

If two people can share one umbrella,

0:22:240:22:28

they can survive the storm together.

0:22:280:22:31

SHE COUGHS AND WHEEZES

0:22:330:22:36

Are you all right?

0:22:360:22:38

SHE WHEEZES LOUDLY

0:22:380:22:41

Let's get you inside.

0:22:430:22:45

It's OK, it's all right.

0:22:450:22:46

SHE STRUGGLES FOR BREATH

0:22:460:22:49

All right.

0:22:490:22:50

Can we get some help here, please?

0:22:500:22:52

Mrs B, what are you doing?

0:22:520:22:54

We need to get her into Resus.

0:22:540:22:55

What's happened?

0:22:550:22:56

She's tachypneic, tachycardic and heart rate's 120. All right.

0:22:560:23:02

Connie, we can handle this.

0:23:020:23:04

Connie? Let's just get her on to the bed. Jan! All right.

0:23:040:23:07

What's happened, is she all right?

0:23:070:23:09

Right, she's uh...she's going to need FBCs, U's and E's, LFTs, um...

0:23:090:23:16

chest X-ray, arterial blood gases.

0:23:160:23:19

Connie, we've got this. Connie, you're not on duty.

0:23:190:23:22

Um, no, I'm needed here.

0:23:220:23:24

I know you want to fix things, make things better.

0:23:240:23:27

Yeah, no, I can help her.

0:23:270:23:29

Decreased breath sounds on the right.

0:23:290:23:31

Looks like a tension pneumothorax. Cannula, please.

0:23:310:23:33

Do you want some local? No time.

0:23:330:23:35

You shouldn't be here. Let's get you back upstairs.

0:23:350:23:38

Come on, you know I'm right.

0:23:380:23:40

Come on.

0:23:410:23:42

WHEEZING CONTINUES

0:23:420:23:44

Small scratch, Mrs Hills.

0:23:480:23:49

- Chest drain, please.

0:23:530:23:54

I can't do it, Charlie.

0:24:010:24:03

I can't do it.

0:24:030:24:05

It's the dream.

0:24:050:24:06

I can't go through this again.

0:24:080:24:09

I thought I'd lost her in the crash

0:24:090:24:11

and now she's going to die on the table.

0:24:110:24:14

I saw it, she...

0:24:140:24:16

Her heart, Jac, everything,

0:24:160:24:18

everything's the same, except I can't wake up.

0:24:180:24:21

Our dreams represent our deepest fears,

0:24:220:24:26

it doesn't mean anything. No, she's going to die.

0:24:260:24:29

As a doctor, what advice would you give yourself?

0:24:310:24:34

You know the answer, you need to act on it.

0:24:360:24:38

Chest drain is swinging nicely.

0:24:430:24:45

Securing it.

0:24:450:24:46

Yep, sats are improving and pulse is up to 100.

0:24:460:24:49

Nice work.

0:24:490:24:51

Well done, everyone.

0:24:510:24:52

Can I stay with her?

0:24:520:24:54

I want her to know I'm here.

0:24:540:24:56

Of course, I'll arrange something.

0:24:560:24:58

She'll need an X-ray, Robyn.

0:24:590:25:01

Yeah, I'm on it.

0:25:010:25:02

Oh.

0:25:080:25:09

You look terrible.

0:25:090:25:11

Thanks, I needed that.

0:25:110:25:13

You should take a break.

0:25:130:25:15

Nice biscuit, cup of tea.

0:25:150:25:17

Actually, I do have some admin to catch up on.

0:25:180:25:20

So, go, sit.

0:25:200:25:23

You're making me feel tired just looking at you.

0:25:230:25:26

I, um, think we should see how it goes,

0:25:400:25:44

but, yes, let's go ahead with the procedure, OK? Grace is...

0:25:440:25:47

Connie... ..not going to give up easily.

0:25:470:25:50

What is it, what's happened?

0:25:500:25:52

Her haemoglobin's down to 8.

0:25:520:25:54

They've run more tests.

0:25:540:25:55

Connie, wait. Let them do their jobs.

0:25:570:25:59

It's good that you're both here.

0:26:000:26:02

The chest X-ray is showing a small, right-sided pleural effusion.

0:26:020:26:06

With the decrease in haemoglobin and hematocrit,

0:26:060:26:09

it looks like the pseudoaneurysm has started leaking.

0:26:090:26:12

Which does complicate things.

0:26:120:26:14

Or clarifies them.

0:26:140:26:16

She needs the surgery, the sooner the better.

0:26:160:26:18

No, no, wait, um...

0:26:180:26:19

I thought you just said this was the way to go?

0:26:190:26:21

Not like this.

0:26:210:26:23

Mr Self and I are in agreement.

0:26:230:26:25

Yes, and that's saying something.

0:26:250:26:27

You know this really is the only course of action.

0:26:270:26:30

No, but... It's OK, Connie, I've got this.

0:26:300:26:32

What did you just say?

0:26:350:26:36

I've got this.

0:26:370:26:38

As soon as you've signed the consent forms,

0:26:390:26:42

they'll prep Grace for theatre.

0:26:420:26:44

The chest tube will help you breathe, Mrs Hills.

0:26:470:26:50

You fractured a rib and punctured your lung.

0:26:500:26:52

Have you had a fall recently?

0:26:520:26:54

I had a bit of a bump with the ambulance door.

0:26:550:26:58

What kind of a bump?

0:26:580:27:00

It was an accident, I don't think he could hear me.

0:27:000:27:03

Can I leave this with you, please?

0:27:030:27:05

Yeah, sure.

0:27:050:27:06

Why didn't you say something sooner?

0:27:060:27:09

I wanted to go to Italy.

0:27:090:27:11

At least this proves my point.

0:27:120:27:14

That it's a dangerous world out there?

0:27:140:27:17

Hardly.

0:27:170:27:19

Life's too short.

0:27:190:27:20

I can't keep living on hold.

0:27:230:27:25

What do you mean?

0:27:260:27:27

Bad things happen to people even when they are careful.

0:27:270:27:31

That's not true.

0:27:310:27:33

You got struck by lightning when you were inside, safe as houses.

0:27:330:27:39

And I got knocked over by a bloomin' ambulance.

0:27:410:27:45

What are you saying?

0:27:450:27:46

Dangerous things happen even when we are taking care.

0:27:460:27:50

That's daft.

0:27:500:27:52

Says who?

0:27:520:27:54

One cup of tea, shaken not...

0:27:570:27:59

HE SNORES LIGHTLY

0:28:090:28:13

You...you spoke about Tom earlier when you were confused.

0:28:310:28:36

You know what happened to him was an accident.

0:28:380:28:41

He should have been driving slower, been more careful.

0:28:410:28:46

I can't just forget what happened to him.

0:28:460:28:49

Why the heck not?

0:28:490:28:51

Tom was funny and silly and soft as butter.

0:28:530:28:58

He wouldn't want you remembering him

0:28:580:29:01

with tubes and machines and all that nonsense.

0:29:010:29:04

He was a "Prime time player with major league swig."

0:29:060:29:11

Swag.

0:29:130:29:14

That's the one.

0:29:160:29:17

If he was here right now, you know what he'd say to you?

0:29:190:29:24

What?

0:29:240:29:25

"Get a life, pops."

0:29:270:29:29

You found your comfort zone,

0:29:310:29:34

with your suits and your numbers and your responsible job.

0:29:340:29:39

But when was the last time you did something for the first time?

0:29:410:29:46

First time I ever got hit by lightning.

0:29:480:29:50

Your wake-up call,

0:29:520:29:54

your bolt from the blue.

0:29:540:29:56

Maybe Tom was trying to tell you something?

0:29:570:30:01

Go with a bang, not a whimper?

0:30:030:30:05

I'm game...

0:30:070:30:09

if you are.

0:30:090:30:11

Iain?

0:30:180:30:20

Iain!

0:30:200:30:22

SHE WHISTLES

0:30:220:30:23

All right, Chuckles, didn't see you there.

0:30:230:30:25

Didn't see me, didn't hear me.

0:30:250:30:26

What are you doing? Which is louder?

0:30:290:30:32

Neither.

0:30:320:30:33

So, you can take your castanets and flamen-go.

0:30:330:30:36

I hear there was a bump with an ambulance door.

0:30:380:30:41

Oh, gossip at an all-time low, is it?

0:30:410:30:42

Let me examine your ears. Lily, I haven't got time for this.

0:30:420:30:45

Yes, you do.

0:30:450:30:47

I was the one who examined you after the crash,

0:30:470:30:49

I don't want to be held responsible for missing anything.

0:30:490:30:51

I'm fine. The same cannot be said of Jan Hills, who suffered

0:30:510:30:54

a broken rib and needed emergency treatment for a pneumothorax.

0:30:540:30:58

Right.

0:30:580:30:59

Is she OK?

0:30:590:31:00

No thanks to you.

0:31:000:31:01

Look, Lily, it's all sorted, Jez has taken over the driving.

0:31:020:31:05

So, you acknowledge you're not fit to work?

0:31:050:31:07

It was an accident. Not if it happens again.

0:31:070:31:10

It won't. Then let me examine you.

0:31:100:31:12

Do I have a choice?

0:31:140:31:15

Jac.

0:31:180:31:19

We're taking Grace to theatre.

0:31:190:31:21

See you soon, sweetheart.

0:31:210:31:22

It's OK, Connie.

0:31:260:31:28

I'll update you as soon as I can.

0:31:280:31:30

For when she wakes up.

0:31:340:31:35

It's her favourite, isn't it?

0:31:370:31:39

(Just let me go.)

0:31:420:31:43

Stop, stop, wait!

0:31:430:31:44

I'm coming with you.

0:31:460:31:48

You're not serious?

0:31:480:31:49

Get rid of it.

0:31:490:31:51

What?

0:31:510:31:52

You really think this is a good idea?

0:31:530:31:55

You don't mind, do you, Jac?

0:31:550:31:57

I can always rely on you to keep me on my toes.

0:31:570:32:00

I think you're making a mistake.

0:32:000:32:02

My family, my decision.

0:32:020:32:04

The eardrum is definitely perforated

0:32:070:32:09

but it looks like the tear's already healing.

0:32:090:32:12

There are signs of infection in the middle ear

0:32:120:32:15

so you'll need to start on a course of antibiotics.

0:32:150:32:18

And that's it?

0:32:180:32:19

You sound disappointed.

0:32:190:32:21

Course not.

0:32:220:32:23

I'll sign you off work for a while.

0:32:230:32:25

There's no need for that.

0:32:250:32:26

Otitis media can affect your balance,

0:32:260:32:28

you could have a more serious accident.

0:32:280:32:31

You need to take better care of yourself.

0:32:310:32:33

Yeah, well, what if I don't want to?

0:32:330:32:35

Lily, there's three of the HEMS team

0:32:350:32:36

plus five others in the morgue, two of them are paramedics.

0:32:360:32:40

Connie's little one is up in ITU and I'm off the booze for a week?!

0:32:400:32:43

You can't change what happened.

0:32:430:32:46

I know that.

0:32:460:32:47

You need to turn this into something positive.

0:32:480:32:51

Positive?

0:32:520:32:53

If I lose a patient, I make sure it pushes me to improve,

0:32:540:32:59

to become a better doctor.

0:32:590:33:00

It's a way of honouring them, of moving forward.

0:33:000:33:03

You can't change what happened but you can redefine it.

0:33:030:33:07

Is Charlie in his office?

0:33:110:33:12

Yeah, but he's working on an urgent report.

0:33:120:33:14

Ah, now is not a good time, David. Oh, it'll only take a second.

0:33:140:33:17

Is Charlie all right?

0:33:170:33:18

Yeah, he's absolutely fine but he's really busy.

0:33:180:33:20

PHONE CHIMES

0:33:200:33:21

Look, this really is urgent.

0:33:500:33:51

Robyn, now is not a good time.

0:33:510:33:53

But the universe has shaken me to awaken me.

0:33:530:33:56

Charlie! Any news on Grace?

0:33:580:34:00

Yes, I've actually just had a text from Connie.

0:34:000:34:03

Well, perhaps you could give us all an update, Charlie.

0:34:030:34:06

Then it's back to work, OK?

0:34:060:34:07

JAC: Grace's music, please.

0:34:160:34:17

MUSIC PLAYS

0:34:200:34:22

I'm afraid Grace has to go back into theatre.

0:34:290:34:31

What? Why?

0:34:310:34:33

They discovered a small tear on her aortic arch,

0:34:340:34:38

the bleed from which was being contained within a pseudoaneurysm,

0:34:380:34:43

which they hoped would buy Grace more time for recovery,

0:34:430:34:48

but, unfortunately, it started leaking

0:34:480:34:51

so they're going to have to take her back into theatre.

0:34:510:34:55

DAVID: Well, is she strong enough for that?

0:34:550:34:58

Well, they're worried that the operation

0:34:580:35:02

might increase the swelling to the brain.

0:35:020:35:05

That sounds bad, Charlie.

0:35:050:35:07

So, Grace is on bypass.

0:35:070:35:09

There's no blood flowing to her heart

0:35:090:35:12

and they've cooled her body to keep her brain protected.

0:35:120:35:16

How's Mrs Beauchamp?

0:35:160:35:18

She's...she's with Grace. She's being very strong for her

0:35:180:35:22

and her dad is here as well.

0:35:220:35:25

For families, I think the waiting is about the worst part.

0:35:250:35:30

And all we can do, really, is send our best hopes and thoughts to

0:35:300:35:34

Grace and her family.

0:35:340:35:37

And let's not forget the surgeons,

0:35:370:35:39

who literally have her heart in their hands.

0:35:390:35:42

I'm sorry to be the bearer of bad news.

0:35:440:35:47

It's always difficult when it's one of our own.

0:35:470:35:50

I'm sorry.

0:35:500:35:51

Thanks, Charlie.

0:35:530:35:55

Mmm, she's back for seconds.

0:36:020:36:04

You could at least try and play hard to get.

0:36:040:36:06

Your self-certificate and these - three a day for a week.

0:36:060:36:10

Well, you've got to support your local dealer, eh?

0:36:100:36:13

Grace is back in theatre, an aortic arch pseudoaneurysm.

0:36:130:36:17

I thought you'd want to know. Poor kid, man.

0:36:170:36:19

Don't get mad, get better, OK?

0:36:210:36:24

What's up with you, sick note?

0:36:270:36:29

Perforated eardrum.

0:36:290:36:31

My balance and my hearing are shot.

0:36:310:36:33

OK, so that's why you've been ignoring me.

0:36:330:36:37

It has its advantages.

0:36:370:36:40

So, I'm going to take a few sick days and then some leave.

0:36:400:36:43

What?

0:36:440:36:46

You're not seriously going to leave me here on my own, are you?

0:36:460:36:48

Aww, see this?

0:36:480:36:51

It's the world's smallest violin.

0:36:510:36:53

You going to miss me? Yeah, like an idiot misses the point.

0:36:530:36:56

What? Exactly.

0:36:560:36:57

Time to become a man, Running Wolf.

0:36:570:36:59

How are you feeling?

0:37:020:37:04

Bit more human, thanks to you.

0:37:050:37:08

"Let him sleep, for when he wakes, he shall move mountains."

0:37:090:37:12

Or make rousing speeches.

0:37:120:37:14

Not long till home time.

0:37:150:37:17

I trust you'll be going back to yours for some shut-eye.

0:37:170:37:20

No, I couldn't.

0:37:210:37:23

Not till I know.

0:37:230:37:24

Hope and Anchor, is it?

0:37:240:37:26

Well, I suppose it will just have to be.

0:37:260:37:29

I don't know how you do it.

0:37:290:37:32

Um, I'll let you get on.

0:37:320:37:33

Nasopharyngeal temp is 12.

0:37:400:37:42

She's had methylprednisolone, thiopental and cardioplegia.

0:37:420:37:45

She's in hypothermic circulatory arrest.

0:37:450:37:47

Let's stop the pump, start the clock, we have 45 minutes.

0:37:470:37:50

Cross clamps, please.

0:37:500:37:52

MUSIC: A Song About Love by Jake Bugg

0:37:570:37:59

# Songs about love

0:37:590:38:04

# Is that what you hoped you would find

0:38:040:38:07

# When it's burning inside

0:38:070:38:09

# But a song about love's not enough

0:38:090:38:13

# So what do you want for?

0:38:130:38:18

# What are you needing... #

0:38:180:38:23

How much time have you reserved for the graft?

0:38:250:38:29

Including the time I spend talking to you?

0:38:290:38:31

No interruptions, please.

0:38:310:38:33

Another large brandy, neat.

0:38:420:38:44

You'd better make that a black coffee.

0:38:440:38:47

What are you doing here, Charlie?

0:38:470:38:49

I was going to ask you the same question.

0:38:490:38:51

Grace is in surgery.

0:38:510:38:53

You know Connie's in there with her, right?

0:38:530:38:56

I know. So?

0:38:560:38:58

So, I'm taking a step back.

0:38:580:39:02

It's what she wants.

0:39:020:39:04

Jacob... Look, she...she made it pretty clear.

0:39:040:39:07

Twice.

0:39:080:39:09

That may be true,

0:39:100:39:13

but the fact is this operation is complicated and risky.

0:39:130:39:18

If Grace...

0:39:180:39:19

If Grace doesn't make it and you're not there,

0:39:260:39:28

how are you going to feel?

0:39:280:39:29

We're running out of time.

0:39:450:39:46

Just finishing up now.

0:39:460:39:48

JAC TUTS

0:39:520:39:54

SHE SIGHS

0:39:540:39:56

What just happened?

0:39:560:39:57

Fresh suture, please.

0:39:570:39:59

Jac? Jac, can you sa...? Can you salvage the graft?

0:39:590:40:03

The graft is fine. 3-0 prolene, please.

0:40:030:40:06

Can someone assist Mrs Beauchamp?

0:40:110:40:14

Focus, please, we can't lose any more time. Music off.

0:40:140:40:19

MUSIC STOPS

0:40:190:40:20

Hey, pudding.

0:40:360:40:38

Where's Charlie?

0:40:380:40:39

He's over there, back room. Thank you.

0:40:390:40:41

Hiya.

0:40:430:40:45

Where's Iain?

0:40:450:40:46

Home, mate. Doctor's orders.

0:40:460:40:48

I told him I'd text him as soon as we heard anything.

0:40:480:40:51

I'll get these. What are you drinking?

0:40:510:40:53

Um, lime and lemonade.

0:40:530:40:54

One lime and lemonade coming up.

0:40:540:40:56

White wine.

0:40:560:40:57

We thought it might be a long night

0:40:570:40:59

and Noel wanted to play Holby Monopoly.

0:40:590:41:02

Did you do this?

0:41:020:41:03

I might've mentioned we'd be stopping by.

0:41:030:41:06

They asked.

0:41:060:41:07

They're all worried about Grace and they wanted to come and be

0:41:070:41:10

a rock for their rock or something equally soppy.

0:41:100:41:14

Hey, I am too reigning champion.

0:41:160:41:18

You remember, Charlie, I got two hotels on Farmead?

0:41:180:41:20

How much can you charge for that?

0:41:200:41:22

You'd have to pay me to stay on Farmead.

0:41:220:41:24

THEY LAUGH

0:41:240:41:25

Deal me in.

0:41:250:41:27

Connie, wh...

0:41:390:41:41

What's...?

0:41:410:41:43

What's happened?

0:41:430:41:44

The suture snapped. Wha...?

0:41:450:41:47

What suture?

0:41:490:41:50

It's my fault.

0:41:510:41:52

Is she OK?

0:41:520:41:53

It's my fault.

0:41:530:41:55

I let this happen.

0:41:550:41:57

PANICKED BREATHING

0:41:570:42:00

I think we should go somewhere tomorrow.

0:42:070:42:09

You're working, aren't you?

0:42:090:42:11

Nope.

0:42:110:42:12

Since when?

0:42:120:42:14

Since I spoke to Charlie, and got a few weeks off.

0:42:140:42:17

Seriously?

0:42:170:42:18

Life's too short.

0:42:190:42:20

Yeah, I got that memo.

0:42:200:42:22

You go out with this rabble much?

0:42:240:42:26

No, no, I don't drink, really.

0:42:260:42:29

Do you know, drinking soft drinks in the pub

0:42:290:42:32

can be as expensive as drinking alcohol?

0:42:320:42:34

It costs only 20 pence for the syrup,

0:42:340:42:36

and then they charge you ten times that.

0:42:360:42:38

What a racket.

0:42:380:42:39

Grace is going to be OK, isn't she?

0:42:440:42:45

It's hard when you don't know whether or not

0:42:470:42:50

they're going to be OK.

0:42:500:42:52

Have you got kids?

0:42:520:42:53

A son.

0:42:580:42:59

But we don't speak much.

0:43:010:43:02

It's been two years now.

0:43:050:43:06

Two years?!

0:43:060:43:07

It was a tricky break-up.

0:43:110:43:13

Yeah, still, shouldn't stop you seeing him or talking to him,

0:43:130:43:15

if that's what you want?

0:43:150:43:17

HE CLEARS HIS THROAT

0:43:210:43:22

How much longer?

0:43:250:43:27

They've got to put her back on the pump, warm her up.

0:43:280:43:31

She's dead, I know she's dead.

0:43:310:43:32

Please stop saying that.

0:43:320:43:34

Her heart pinked up nicely, they're warming her up now.

0:43:440:43:47

You salvaged the graft?

0:43:470:43:49

Yes, I put some extra sutures in.

0:43:490:43:52

She's going to be OK?

0:43:520:43:54

She's stable, she's doing well.

0:43:540:43:56

Can we see her?

0:43:580:44:00

As soon as she's back in recovery, she's all yours.

0:44:000:44:03

Thank you so much.

0:44:030:44:04

Yes.

0:44:220:44:23

This feels just like waiting the other week.

0:44:230:44:25

And they say lightning never strikes twice.

0:44:250:44:27

That's a myth, actually.

0:44:270:44:28

Lightning strikes the earth around 6,000 times a minute.

0:44:280:44:31

So, it could be ten minutes or longer than a million years,

0:44:310:44:33

but eventually...

0:44:330:44:35

Y...

0:44:350:44:36

Sorry, I'm a bit of a storm-chaser.

0:44:380:44:42

PHONE RINGS

0:44:420:44:44

Hello, Jac.

0:44:460:44:47

Who's Jac?

0:44:480:44:50

Jac Naylor, she's a heart surgeon.

0:44:500:44:52

OK, right.

0:44:520:44:54

Yeah, you too.

0:44:540:44:57

It went well.

0:44:570:44:58

A long way to go, but she's back in ITU and she's stable.

0:45:000:45:03

Right, time you lot headed off home.

0:45:050:45:09

Most of you have got to be back in here very soon.

0:45:090:45:11

Goodnight, Charlie. Goodnight.

0:45:110:45:13

Goodnight.

0:45:130:45:15

Goodnight, Charlie.

0:45:150:45:16

Night-night, David. Night.

0:45:210:45:24

Night, Dave.

0:45:240:45:26

Hi, Rosa...

0:45:290:45:31

it's me...

0:45:310:45:33

David.

0:45:330:45:34

Your ex, David.

0:45:340:45:36

Could you call me back, please?

0:45:370:45:40

Thanks.

0:45:410:45:43

Come on then, old man, time for you to hit the hay.

0:45:430:45:46

No, pointless me going home, I won't sleep.

0:45:460:45:49

Oh, you're not seriously going to pull another all-nighter?

0:45:490:45:53

Yeah, it looks that way.

0:45:530:45:54

OK.

0:45:540:45:56

Come on then, I always wanted a couple of houses on Edwalton.

0:45:560:45:59

You serious? Yeah, absolutely.

0:45:590:46:02

Have you got stuff you've always wanted to do?

0:46:050:46:08

What do you mean? Like a bucket list?

0:46:080:46:10

Yeah, I guess.

0:46:100:46:11

I hadn't thought about it.

0:46:120:46:14

Really?

0:46:140:46:15

I've had a vision board since I was a kid with pictures

0:46:150:46:18

of places I wanted to go and things I wanted to do.

0:46:180:46:22

Well, show me, then.

0:46:220:46:24

Maybe we can tick a few things off together.

0:46:240:46:26

Like Euro Disney?

0:46:260:46:28

I've always wanted to go to Euro Disney.

0:46:290:46:32

Is your name Ariel?

0:46:320:46:34

Because we mermaid for each other.

0:46:340:46:36

That's terrible.

0:46:360:46:39

Do you really think you'd be up for it?

0:46:390:46:41

Are you kidding? Let's go pack now.

0:46:410:46:43

THEY SQUEAL EXCITEDLY

0:46:430:46:45

You've got to fight now, Grace, OK?

0:46:500:46:53

You've got to fight as hard as you can,

0:46:530:46:57

because we're all here, waiting for you -

0:46:570:47:01

me, Daddy, Jacob and um...

0:47:010:47:05

..this little guy, look.

0:47:090:47:10

I've called him Sid.

0:47:130:47:15

You know I'm not very good at names,

0:47:150:47:18

but he's going to need a lot of love...

0:47:180:47:22

so you've got to get better.

0:47:220:47:24

You've got to get better and come home.

0:47:280:47:30

BEEPING

0:48:160:48:17

What exactly happened? No idea.

0:48:170:48:19

How are we supposed to treat him when we don't know what's wrong?

0:48:190:48:23

If something happens to me... I'd love it if you took the kids.

0:48:230:48:25

BEEPING Dad...! Anyone!

0:48:250:48:27

His throat's swelling. Fletch, you've got to help me...

0:48:270:48:30

Don't miss Holby City,

0:48:300:48:32

next Tuesday at 8:00 on BBC One.

0:48:320:48:35

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