End of the Road Casualty


End of the Road

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-Right, this is Lily Chao. We think it's a hit and run.

-Stop!

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It was an accident. I didn't mean for it to happen, I promise!

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If you get through this, you and me,

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we're going to be something special.

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We have very good reason to believe that Scott Ellison

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was responsible for the attack on Cal.

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He didn't do it, Jez.

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That's his problem. I don't want him...

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I want you.

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I will protect you. You know that, don't you?

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I've always been able to talk.

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I just didn't want to talk to you because I hate you.

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Well, do you know what, sweetheart, the feeling is mutual!

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You like pizza, don't you, Mum?

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I think that's called a Freudian slip.

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Huh?

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You're not coming back to work already, are you?

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I can't sit at home a day longer. I need to work.

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SIREN

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Two chocolate wafers?

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One chocolate wafer, one apple.

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Can of lemonade?

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Bottle of water, because...

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BOTH: Hydration improves concentration.

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See, you know.

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What's this?

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Oh, I won a science award.

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I made a model of a heart just like the one you showed me.

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Oh, Hugo, that's fantastic! I'm very proud of you.

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First one to the car gets to drive.

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Not until you're 17.

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Boring!

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Hey.

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We're looking for Bobbie.

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Come on, then.

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Are you sure this is a good idea?

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So I'll meet you in the Hope and Anchor after work, yeah?

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I got to get going. See you later.

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Is that who I think it is?

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Does my breath stink or something?

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Um... OK, let's never do that again. And stop using my mouthwash, please.

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Are you two an item?

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Er... I'm not sure.

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You do know that his brother might have killed Cal?

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We don't know that, though, do we?

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Don't worry, we'll probably finish tonight, anyway.

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It's probably for the best.

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Hello? Anyone here?

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There's no-one here.

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How are you feeling?

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All right.

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This is all we've got left.

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Come here.

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DISTANT SIREN

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Let's go.

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Neysa...

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I think you should be at home watching Bargain Hunt

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or Loose Women or something.

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I promise you, I'm OK.

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Yeah, well, we don't want doctors struggling through shifts,

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you know, that's how mistakes happen.

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So, guys, this arrived.

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Neysa.

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Damn it!

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We knew it was a long shot.

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We can go into town. Try there.

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Go to some of the pubs, maybe The Wheatman...

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We've tried everywhere! I've asked in The Wheatman 20 times.

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They won't even let me in any more!

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It's OK, we'll be OK...

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We won't be OK.

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Move!

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Arghhhh!

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I don't even know what language that is.

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Well, whatever, we should forward it on to Ethan.

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Nah, that boy does not need more stuff to sort out.

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We should open it, though.

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What if it's some weird hobby no-one knew about, like bondage stuff?

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I'll put this in my office for now.

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She'll come back to you.

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Just give her time.

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Right. Busy day, Charge Nurse Masters, let's get to it.

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You heard the lady.

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Let the healing begin.

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PHONE RINGS

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Police, please.

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Riya?!

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Riya?

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COUGHING

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Don't move, OK?

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I'm OK.

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Stay still.

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You have to go to hospital.

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No, I'm OK, I swear.

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We have to.

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So what do you reckon? This one, you get free lippy?

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Not that one - that one.

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Mm, this one? Ah, HQ, great choice.

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That's exactly what I would have gone for.

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This is supposed to be a treat for me, remember?

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OK.

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Hey.

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How's she doing?

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Yeah, she's good. We're just off to physio, aren't we?

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Aren't we, Grace?

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OK.

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Let me know how it goes.

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Yeah, sure.

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Just pretend I'm here for an appointment.

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Is the suspect behind me?

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Um...over your right shoulder.

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Teenage girl, blonde hair, blue denim jacket.

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We've got a runner.

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Stop! Police!

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You all right?

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Indigestion.

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Well, look, let's get you inside. Come on.

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I'm all right.

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Well, then, it won't take long, will it? Come on.

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Did I miss the meeting where we decided we were going to make Dr Chao

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the poster girl for the miraculous healing properties of this hospital?

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Sorry, I don't follow.

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OK. Try this for size - she shouldn't be back at work.

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It's too soon.

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Well, if she's fine with it, I'm fine with it.

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Dylan, have you heard any more about these consultant interviews?

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No, not recently. Have you?

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No. I was hoping that Sam had had a rethink.

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-Well, I think I made my feelings pretty clear, don't you?

-Hm-mm.

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Dr Gardner.

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This is Phil Paterson.

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50 years old, sudden onset of central chest pain on exertion,

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and shortness of breath.

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OK. Hi, I'm Dr Gardner.

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Just a bit of indigestion. I'm feeling a lot better, really.

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There's no need to make a fuss.

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OK. Have you been getting indigestion a lot lately?

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A few times, training. Been pushing the weights pretty hard.

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A gym fiend, eh?

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You could say that.

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Well, we need to investigate, so let us find you a bed.

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I'm fine, really. I need to see your CCTV.

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Officer, this could be angina. Please, let us help you.

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Hi, Jim.

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Sorry, I should have called.

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It's OK.

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It's about Hugo.

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What's happened?

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Nothing, he's fine. Um...

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I'm here because...

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Well...

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You want to take him back.

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Yeah.

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Ah. Pulse 80, SATS 99%, BP 157 over 96.

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His ECG is showing a left axis deviation, but nothing acute.

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Can I go now?

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What's your hurry?

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Please tell me you are not the only police officer in Holby.

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There are one or two others.

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That's reassuring.

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I don't like leaving others to clean up my mess.

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I wish my sons were more like you.

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I could come round and give them a caution?

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I think a washing-up brush would be more useful.

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Sounds like Dad needs to set a good example.

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Ah, except that you're looking at him. Mum, Dad, taxi, skivvy.

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You're on your own?

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Yeah, married to the job.

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Well, that is a crime.

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Right, um...

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David, blood tests, including troponin

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and repeat the PC...

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ECG?

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Repeat that ECG in 20 minutes.

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Oh.

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Hello?

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Do you think he will finish with me?

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Well, if you talk this much when you're with him, then yeah.

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I thought he was happy. You know, we get on, we have a laugh...

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the sex is amazing.

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Whoa, whoa, whoa, whoa, whoa. Too much.

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Hello?

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Over here.

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Hello, love, my name's Iain, I'm a paramedic.

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I'll get that, thanks.

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Right, my name's Jez. Are you hurt at all?

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Right. I'm just going to check your arm, OK?

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-What's her name?

-Riya.

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OK, Riya.

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Right, let's sort out getting you out of here, all right?

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Keira wants us to move to Edinburgh so she can be closer to her mum when she has the baby.

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She wants all the help she can get.

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You know, he's really settled here,

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and he's doing really well at school.

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I know it's not ideal, but I think it's what's best in the long run.

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Have you asked Hugo what he wants?

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I'm sure he won't want to move at first...

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Well, let him stay.

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Y... You can still see him at weekends and holidays.

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I'm grateful for all your help, really I am,

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but it's time that Hugo was back with his family again.

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Yes, of course. Um...

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When will you be leaving?

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Today.

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You're not serious?

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I'm sorry, it's all a bit last minute.

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I'll pick him up from school.

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What about his things...

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If he's got a key, I can help him pack.

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No, it's fine, I'll do that.

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Well, if you're sure, I'll meet you back here after school?

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OK.

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Thank you for everything you've done.

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Can we get a board in, please?

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Quick as you can.

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Stay nice and still for us, we're going to get you out of here.

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Jez, I need you for a log roll, mate.

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Yeah.

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You've got to get her out of here now!

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Right. On three. One, two, three.

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What were you girls doing in here, anyway?

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Move her!

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Can someone get her out of here, please? Stops on.

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When you're ready, Jez, on three. One, two, three.

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Get out of here. Go, go, go, go. Quick, quick, quick.

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Come on!

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Connie. This box of Cal's...

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Leaving it longer is not going to make it any easier.

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Sorry, Charlie, not now.

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It'll only take a minute...

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What's wrong?

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Is it Grace?

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As far as I know, she's absolutely fine.

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Where are you going?

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Home to pack. Hugo's leaving.

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Oh, I've seen that look before,

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when you sat next to Simon Beales in geography.

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You hounded that boy for weeks.

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I did not!

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You got me to ask him out for you!

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-Oh, yeah.

-Yeah!

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He took me ice skating.

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I fell into him and broke his arm.

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So what did you do with this one?

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Oh, behave.

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No. I guess you could do worse.

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In fact, I'm pretty sure you have.

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Jacob, he is a patient.

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All the more incentive to make him well.

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Ooh! Come on, now. Be cool, pancake.

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He is blatantly checking you out.

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Shut up!

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Oh, so that's why you've come back so early.

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Thanks. What are you doing here?

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Receiving your patient.

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Right. This is Riya Sande, 19.

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At 11.15, a wall collapsed on her,

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leaving her with a left-sided facial abrasion and a scalp laceration

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to the back of her head, slight bruising to her abdomen,

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no obvious fractures but she's complaining of pain in her legs.

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Bay four.

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GCS 15. Pulse 84, BP 140 over 80, Sats 98%, resps 18.

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We have given her 5 of morphine.

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Hello, Riya, I'm Dr Chao.

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How long are you going to take?

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This is Riya's sister Neysa.

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I'll hand you over in a minute, darling, OK? On three, please.

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One, two, three.

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Can you hurry up?

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OK, let's get that arm looked at, yeah?

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No, I'm fine! It's just a wrist sprain. I'll ice it later.

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Let us just take a look, eh? Come on.

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Louise.

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You couldn't keep an eye on Lily, could you?

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I'm a bit worried she's pushing it a bit too much.

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Oh, yeah? And why do you care?

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Just concerned for a colleague.

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A colleague or something more?

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Wind your neck in, Louise, right, we're just friends.

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She's hasn't mentioned anything about me to you, has she?

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Like what?

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Like when I visited her upstairs.

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Why? What happened?

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Forget it.

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You got me out of French! Merci!

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What are you doing here?

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You've got the rest of the day off.

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Yes! Why?

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Um... Because...

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It's not the dentist, is it?

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No, no, no, it's not that.

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-Phew.

-I have some good news for you.

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You are going to move back with your dad and Keira, all right,

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and more excitingly, you're going to be moving to Scotland.

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But I like living here with you.

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Well, you will make lots of new friends.

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I promise, it'll be lovely.

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Come on, let's put your stuff in the car.

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I don't want to go.

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Well, your dad's coming to pick you up later, so...

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You can tell him I'm not going.

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No, I can't.

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Yes, you can!

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-I can't.

-Please, Mum, tell him that...

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Hugo... I'm not your mother.

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Come on. Put your stuff in the car.

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Hugo?!

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Let's get bloods, please. FBC, U and E's, clotting and a group and save.

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Ow!

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Can I also have X-rays on both legs?

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I'm also going to do a quick, painless scan of your abdomen just to exclude any problems.

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Are you on any medication?

0:18:180:18:19

Why don't I take this, Lily?

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You can cover cubicles, ease yourself back in.

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I am back in and this is my patient, Dr Keogh.

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Only trying to help.

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There was no need for the savaging.

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Everything OK?

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Yeah.

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-Everything OK?

-Yeah.

0:18:580:19:00

Right, your wrist X-ray looks normal,

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but a scaphoid fracture only shows up after 10-14 days,

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so we will...

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No cast. I need to get out of here.

0:19:060:19:08

Impressive.

0:19:080:19:09

Look, we will have to apply a precautionary cast just in case.

0:19:090:19:13

How's my sister doing? Can I see her yet?

0:19:130:19:16

Soon.

0:19:160:19:18

Is there anyone we can call, Neysa? Parents, maybe?

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Let them know you and Riya are here?

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It's just we can't find any of yours or Riya's records.

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-We only moved here recently.

-Oh.

0:19:260:19:30

Right, let's get that wrist plastered, then.

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I don't need help.

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Please tell me I can go home.

0:19:440:19:46

No. We need you to wait to do another troponin test

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to see if there's any damage to your heart muscle.

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Or, are you just coming up with excuses to keep me here?

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Phil, I'm concerned you may have been over doing it a bit.

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I've never felt fitter.

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Your heart might be telling you it's time to just slow down.

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Take my pension and grow turnips down the allotment?

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I don't think so.

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Would that be so bad?

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If you want to die of boredom.

0:20:070:20:09

Come on, doc, there's life in these legs yet.

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Yeah, but it's not your legs I'm worried about.

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RINGING Pick up, pick up, pick up, pick up.

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'Hi! I'm not here. You know what to do.'

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BEEP

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Hugo, it's me. Hi, darling.

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Can you, can you call me back? I'm just starting to get a bit worried.

0:20:330:20:37

Why don't we meet up at the house?

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Yeah? And I will make some lovely waffles. How about that?

0:20:400:20:44

We can talk it through. It's going to be fine.

0:20:440:20:47

Sweetheart, it's going to be fine, OK? Just call me back.

0:20:470:20:51

OK.

0:20:530:20:55

Riya, good news, there's no sign of any fractures of your legs,

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but your blood sugar is very high. Are you diabetic?

0:21:060:21:10

No.

0:21:100:21:11

Your blood sugar's 15. This could be a stress response to the trauma.

0:21:110:21:14

I need to pee.

0:21:140:21:15

Let's check you for ketones and take a blood gas.

0:21:150:21:18

No, please don't try and get up.

0:21:180:21:21

-Riya, are you in pain?

-No.

0:21:210:21:23

Can I examine you again, please?

0:21:230:21:25

Are those needle marks?

0:21:250:21:26

Course not.

0:21:260:21:27

Didn't you see these when you were doing your survey?

0:21:270:21:29

I missed them. What drugs?

0:21:290:21:32

Are you taking heroin?

0:21:320:21:34

No!

0:21:340:21:35

Then what are those?

0:21:350:21:36

I...

0:21:360:21:38

I don't know.

0:21:380:21:39

Hugo?

0:21:440:21:45

RINGING

0:22:020:22:05

Jim, um... There's a bit of a problem.

0:22:090:22:14

Track marks? You're sure?

0:22:140:22:16

100%. Clearly habitual IV injections.

0:22:160:22:19

Is there anything on Neysa?

0:22:190:22:21

-No, nothing.

-Can you have a chat with her, please?

0:22:210:22:23

-See if she knows anything.

-Yeah.

0:22:230:22:25

First day back, it's easy to miss things.

0:22:270:22:30

If you're struggling, please let someone know.

0:22:300:22:32

-Did Dylan ask you to keep an eye on me?

-No, of course not.

0:22:320:22:34

You're a terrible liar.

0:22:340:22:35

It was Iain, actually. He asked me to look out for you.

0:22:350:22:38

It's the last time I do him a favour.

0:22:380:22:40

Why would he do that?

0:22:400:22:41

Why do you think?

0:22:410:22:42

Who's your GP, Riya?

0:22:460:22:48

We need everything we can find on her medical history.

0:22:540:22:56

Address is given as Auborn Way,

0:22:560:22:58

let's try the local surgeries in the area.

0:22:580:23:00

All of them?

0:23:000:23:02

Quick as you can.

0:23:020:23:03

Charlie!

0:23:320:23:33

Yeah? Excuse me a minute, Jonathan.

0:23:330:23:35

Have you seen Hugo?

0:23:350:23:37

He's with Connie, isn't he?

0:23:370:23:39

She told him he was moving and he ran away.

0:23:390:23:41

I just thought he might have come back here.

0:23:410:23:43

No, I haven't seen him. Have you seen Hugo?

0:23:430:23:46

No.

0:23:460:23:47

What's his full name? I'm a police officer.

0:23:470:23:50

Hugo Bonning. He's only 11.

0:23:500:23:52

Hang on, this officer is a patient.

0:23:520:23:55

Charlie, could you call 999, please?

0:23:550:23:57

No need. Give me a description of the young lad.

0:23:570:23:59

I've got a photograph, hang on.

0:23:590:24:01

-I'll do a ring around.

-All right.

0:24:010:24:04

2604 to control.

0:24:060:24:08

'Receiving.'

0:24:080:24:09

I'm at Holby ED and beginning to receive details of a runaway child.

0:24:090:24:12

I'm sorry, Mr Patterson,

0:24:120:24:14

you can't leave until we've got the results of the second troponin test.

0:24:140:24:17

I'm fine. I'm not wasting any more time.

0:24:170:24:18

No, he's right, you need to stay here.

0:24:180:24:21

I'll chase the results.

0:24:210:24:22

All right.

0:24:220:24:24

I understand if you need to wait for your results.

0:24:250:24:27

It's my decision, right?

0:24:270:24:29

HORN HOOTS

0:24:460:24:47

Lyme Regis?

0:24:520:24:53

Hop in.

0:24:530:24:55

Could be worse. No washing up for six weeks.

0:25:110:25:14

Yeah.

0:25:140:25:15

Are you sure there's no-one we can call for you?

0:25:160:25:19

Your mum or boyfriend?

0:25:190:25:21

Could do with some food if there is any.

0:25:230:25:26

Yeah, OK. I'll find you a sandwich.

0:25:260:25:28

Is there a way of searching for missing people?

0:25:300:25:33

What?

0:25:330:25:35

You know, like, a hospital way.

0:25:350:25:37

No, not really. Why? Are you looking for someone?

0:25:370:25:40

No. Just an ex. Don't worry.

0:25:400:25:43

OK, you can see your sister now.

0:25:430:25:45

OK, there she is.

0:25:500:25:52

You all right?

0:25:540:25:55

I think we should call Auntie Carol.

0:25:550:25:57

No! You know she's a total cow.

0:25:570:26:00

Just, just leave it, all right? we don't need anybody else.

0:26:000:26:03

So, can we get out of here, then?

0:26:060:26:09

Um... Neysa, we've seen the track marks on your sister's arm.

0:26:090:26:14

Track marks?

0:26:140:26:15

She's been using some kind of intravenous drug.

0:26:150:26:17

What?

0:26:170:26:19

And I found these in your bag.

0:26:190:26:22

I've never seen them before.

0:26:230:26:25

We need to know what the drug is, Neysa.

0:26:250:26:28

I don't know what you're talking about.

0:26:280:26:30

You stole hospital property.

0:26:300:26:31

So call the police, then!

0:26:310:26:33

You should just tell them.

0:26:330:26:34

Just shut up, Riya!

0:26:340:26:35

She's really good at injecting.

0:26:350:26:36

She learnt online, she used to want to be a doctor.

0:26:360:26:39

-Right, get up, we're going to get out of here now, all right?

-Stop!

0:26:390:26:42

Are you not ashamed?

0:26:420:26:43

This is your little sister.

0:26:430:26:45

She is seriously ill and a habitual drug user

0:26:450:26:47

which you are clearly enabling.

0:26:470:26:49

What is it, are you a dealer?

0:26:490:26:50

-Did you get her onto it?

-No, I...

0:26:500:26:52

Do you have any idea of the dangers of IV drug misuse?

0:26:520:26:55

Of clotting, thrombosis, of overdose?

0:26:550:26:58

If only you knew how many young people I've seen die in this room, I doubt you'd be so cavalier...

0:26:580:27:02

Lily.

0:27:020:27:03

Or maybe you just don't care.

0:27:030:27:05

Is your chest sore?

0:27:080:27:09

I think some bricks fell on me.

0:27:090:27:11

Let's repeat the fast scan and include the chest this time.

0:27:110:27:14

Neysa!

0:27:170:27:19

2604 to control.

0:27:220:27:24

His teachers haven't seen him and no-one has a lead on where he might go.

0:27:240:27:27

I'll do a sweep in this area and then swing by his house.

0:27:270:27:29

'2604 from control. We've just had a sighting on the A992.

0:27:290:27:33

'A young boy seen getting into a truck.'

0:27:330:27:35

2604. On my way.

0:27:350:27:37

I can't let him get away.

0:27:480:27:50

You know, he lets me watch Match Of The Day, he could be the one!

0:27:500:27:54

Right.

0:27:550:27:57

So, what do you reckon?

0:27:570:27:58

About what?

0:28:000:28:01

About how I should play it!

0:28:010:28:02

I don't know. Ask Noel, he's good with that sort of stuff.

0:28:020:28:05

Really?

0:28:050:28:06

Yeah. He should been an agony aunt, he's that good.

0:28:060:28:09

Thanks for your help, mate.

0:28:090:28:11

Iain.

0:28:130:28:15

Thank you for visiting me on the ward,

0:28:180:28:20

after the accident.

0:28:200:28:22

That's all right. Do you remember it?

0:28:220:28:25

I remember hearing your voice. It was comforting.

0:28:260:28:30

Oh, that's good.

0:28:310:28:33

I think I dreamt as well. Things you said.

0:28:330:28:36

All right. Look...

0:28:360:28:38

Sorry to interrupt.

0:28:380:28:40

I rang around all the GP surgeries.

0:28:430:28:46

And?

0:28:460:28:47

Nothing with their surnames,

0:28:470:28:49

but Watermill Street does have two sisters by the name of Riya and Neysa Mehat.

0:28:490:28:53

So they gave fake names.

0:28:530:28:54

And that's not all. They told Iain their ages were 21 and 19.

0:28:540:28:57

-What are they really?

-17 and 14.

0:28:570:29:00

RINGING

0:29:030:29:04

'Yeah?'

0:29:040:29:05

-We just got a call from the police. There's been a sighting.

-Where? Is he all right?

0:29:050:29:09

-It looks like he got into a truck.

-Oh...

0:29:090:29:11

A garage attendant thinks they saw him on the way to Brent Docks. We're heading there now.

0:29:110:29:15

Right, I'll go. I'm closer, so...

0:29:150:29:17

No, Connie. I'll handle it from here.

0:29:170:29:19

Yeah, but if she's closer...

0:29:190:29:20

I think she's done enough damage for one day. Connie, go home.

0:29:200:29:23

All right, I'm coming with you.

0:29:240:29:26

Yep. Riya Mehat, born here, 2003.

0:29:380:29:42

She had appointments in the Rheumatology and Immunology clinic.

0:29:420:29:46

We need a next of kin.

0:29:460:29:47

Mother's name... Bobbi Mehat... no number.

0:29:470:29:52

Hold on...

0:29:520:29:53

Bobbi Mehat's been treated here for drug misuse,

0:29:530:29:57

on-and-off for a decade or so.

0:29:570:29:59

There's no contact details for her

0:29:590:30:02

but there is the name of a drugs counsellor.

0:30:020:30:04

Hey. Are my waffles really that bad?

0:30:200:30:23

What are you doing here?

0:30:230:30:25

Come on. I've come to take you home.

0:30:250:30:27

Yeah? It's not my home any more, is it?

0:30:270:30:30

Thank you. I'll deal with this.

0:30:300:30:31

No, the car's this way. Hugo!

0:30:310:30:34

What's Lyme Regis?

0:30:360:30:37

What do you care?

0:30:370:30:39

It's not my decision for you to move to Scotland, sweetheart.

0:30:390:30:42

Bet you're glad to get rid of me.

0:30:420:30:44

You honestly think I want you to go?

0:30:440:30:46

So come with me. Somewhere else. Anywhere else.

0:30:460:30:51

We can be a family.

0:30:520:30:53

VEHICLE APPROACHES

0:30:590:31:00

I don't...

0:31:000:31:02

Hugo, stay...stay here!

0:31:030:31:05

Sighting at Brent Docks truck stop.

0:31:050:31:07

Please, it's fine, we've got it covered.

0:31:080:31:10

It's OK, it's OK.

0:31:120:31:13

It's fine. It's fine. We've got...

0:31:130:31:15

Hugo! He needs help, come on.

0:31:210:31:23

It's fine, don't touch him. I'm a doctor.

0:31:240:31:26

Hello?

0:31:280:31:29

Hello. Can you tell me your name?

0:31:290:31:31

Right, call an ambulance now!

0:31:330:31:35

What's happened to him? Is he dead?

0:31:390:31:42

He's had a cardiac arrest. He's possibly gone into VF.

0:31:420:31:46

Do you remember what we did?

0:31:460:31:48

What did I teach you? Come on, first thing?

0:31:480:31:50

ABC. Airway, breathing, circulation.

0:31:500:31:54

Good boy. Now I need you to help me.

0:31:540:31:56

I need you to find the AED.

0:31:560:31:57

It's a big red box, OK? You can't miss it.

0:31:570:32:00

Can someone help him find it?

0:32:000:32:02

Hey. So, we spoke to the drugs counsellor.

0:32:120:32:16

Their mum's missed her last four appointments.

0:32:160:32:18

And we've spoken to the council and the utilities and tax

0:32:180:32:21

haven't been paid for the last three months.

0:32:210:32:23

Also, Neysa asked me how you would search for missing persons.

0:32:230:32:26

We think their mum might have abandoned them.

0:32:260:32:28

The building where the wall collapsed this morning - homeless people sleep there,

0:32:280:32:32

so I'm thinking they went searching for her.

0:32:320:32:34

-Maybe that's where they got the drugs?

-No.

0:32:340:32:36

Well, they might have got into them through their mum.

0:32:360:32:38

They're not using recreational drugs. Duffy, where's Neysa?

0:32:380:32:42

She discharged herself ten minutes ago.

0:32:420:32:44

Where are you going?

0:32:450:32:47

All right. Well done, well done. Right, come around here.

0:32:510:32:55

Do you remember how to do compressions?

0:32:550:32:58

30 to two breaths.

0:32:580:32:59

Good boy. Here we go, take over.

0:32:590:33:02

Sing a song in your head. All right. Can we stand back, please?

0:33:020:33:06

Give us some room.

0:33:060:33:07

All right. SIREN

0:33:070:33:09

No, it's OK, it's OK, it's just the ambulance.

0:33:090:33:11

All right? I need you here, I need your help. OK, stay with me.

0:33:110:33:14

Here you go.

0:33:230:33:24

OK. Back away, make sure you're not touching him.

0:33:240:33:26

Everyone clear?

0:33:260:33:27

Shocking.

0:33:270:33:28

Did it work? Did I do the compressions wrong?

0:33:300:33:32

You did really great, they were perfect,

0:33:320:33:34

but sometimes we need to shock more than once, OK?

0:33:340:33:36

Keep up the compressions.

0:33:360:33:38

Stop. Stop. Stop. Stop.

0:33:400:33:42

We've got an output.

0:33:440:33:46

You did it!

0:33:460:33:48

Well done, Hugo.

0:33:480:33:50

What are you doing here?

0:33:510:33:53

Right, this is PC Phil Paterson.

0:33:530:33:56

A short time ago he collapsed, having had a cardiac arrest.

0:33:560:34:00

We shocked him once using the AED.

0:34:000:34:02

I thought I'd lost you.

0:34:020:34:04

After a brief period of compressions he's got an output and breathing unaided.

0:34:040:34:11

Hello, mate. My name's Iain. I'm a paramedic. Can you hear me?

0:34:110:34:15

Neysa?

0:34:240:34:25

I'm going, OK?

0:34:250:34:26

-Just wait.

-I haven't stolen anything.

0:34:260:34:28

I know you haven't. Just listen.

0:34:280:34:30

I'm not going to do any more injections, all right?

0:34:300:34:33

I'm leaving her here with you, you can look after her properly.

0:34:360:34:41

I know about your sister's arthritis.

0:34:420:34:45

Juvenile Idiopathic Arthritis.

0:34:460:34:48

I'd say she's been living with it for at least five years

0:34:510:34:53

and the pain can be very bad.

0:34:530:34:56

That's what the track marks are.

0:34:560:34:58

IV steroids to manage the flare-ups. Probably prednisolone bought online?

0:34:580:35:02

Your sister said you wanted to be a doctor.

0:35:090:35:11

Yeah, when I was a kid.

0:35:110:35:13

I am so sorry, Neysa, I misjudged you.

0:35:200:35:23

What you've been doing is very dangerous, but I know you

0:35:260:35:31

were only doing what you thought was best for your sister,

0:35:310:35:34

that you were only trying to make things easier for her.

0:35:340:35:36

We also know about your mum going missing.

0:35:400:35:43

You've been managing all by yourself.

0:35:480:35:51

Having to stay strong for Riya.

0:35:510:35:53

Telling her everything's going to be OK when you have no idea if it will be.

0:35:530:35:57

I know how hard it can be to accept help,

0:36:010:36:05

to tell people you're struggling...

0:36:050:36:09

Scared they may see you as weak, see you as a fraud...

0:36:090:36:11

..but it's not weak to ask for help.

0:36:150:36:18

It shows that you're strong enough to face things head on.

0:36:180:36:22

It's so horrible seeing Riya in pain. Really horrible.

0:36:290:36:35

Dr Chao? You're needed in resus.

0:36:370:36:40

It's Riya Mehat.

0:36:400:36:41

They're arguing about me, aren't they?

0:36:450:36:47

Cos they care about you.

0:36:470:36:49

Well, if they did, I wouldn't be going to Scotland.

0:36:490:36:52

What, you don't like it up there?

0:36:520:36:54

Never been.

0:36:540:36:56

Oh, you're going to love it.

0:36:560:36:58

Yeah, I mean, Haggis, kilts, tossing the caber. What's not to like?

0:36:580:37:03

You haven't been, either?

0:37:030:37:05

But, I will go. One day.

0:37:060:37:08

And now I'll have someone to visit.

0:37:100:37:12

My main man Hugo.

0:37:130:37:15

Do you think they're going to fight?

0:37:190:37:21

If they do, who do you think will win?

0:37:220:37:24

Connie.

0:37:240:37:26

I think you're right.

0:37:260:37:27

You know he's done this before, so...

0:37:300:37:32

He wasn't running away.

0:37:320:37:34

He was on his way to Lyme Regis!

0:37:340:37:36

It was the last place that we went on holiday before his mother died.

0:37:360:37:40

Sorry. I didn't know.

0:37:430:37:46

You're not his mother, Connie. This is not your decision to make.

0:37:460:37:51

It's mine.

0:37:510:37:52

What's happening?

0:37:550:37:56

Pericardial effusion, causing right ventricular collapse.

0:37:560:37:59

Please, you have to save her.

0:37:590:38:00

You didn't scan her chest when she came in?

0:38:000:38:02

I was more concerned about her legs and abdomen.

0:38:020:38:04

Well, yeah, OK, but as soon as you spot Chronic Juvenile Arthritis

0:38:040:38:07

you should be taking care to identify any occult injury.

0:38:070:38:10

I missed it, OK? What do you want me to say? I came back too early?

0:38:100:38:13

It was Lily that picked up Riya's arthritis and steroid use.

0:38:140:38:17

Without it, it would've gone undetected.

0:38:170:38:19

OK, well, we need to drain the effusion so can we have

0:38:190:38:21

the pericardiocentesis tray, please, and let cardiology know, thank you.

0:38:210:38:25

Officer Phil,

0:38:360:38:38

we are going to move you up to the cardiac catheter lab for angioplasty,

0:38:380:38:42

which means they'll probably insert a stent

0:38:420:38:45

into the artery to improve the blood flow.

0:38:450:38:49

I'm sorry I ran out on you, doc.

0:38:490:38:50

It's my fault. I should have handcuffed you to the bed.

0:38:500:38:53

Oh! She's good-looking and kinky.

0:38:530:38:55

Where have you been all my life?

0:38:550:38:57

Oi, behave, you! I don't want you having another heart attack.

0:38:570:39:00

I've learnt my lesson.

0:39:000:39:01

I'm going to slow down from 100 to 90.

0:39:010:39:05

75?

0:39:050:39:06

Try 50. It is your age.

0:39:060:39:08

She's putting me in the slow lane.

0:39:080:39:09

It's easier to enjoy the scenery.

0:39:090:39:11

Yeah, I've got no-one to enjoy it with.

0:39:110:39:14

Maybe if you spent less time at work...?

0:39:140:39:17

If I asked her out on a date, do you think she'd say yeah?

0:39:170:39:19

Well, I, er...

0:39:190:39:21

Go on a date with me. Providing I survive this angio-thingy.

0:39:210:39:24

It's against the rules for me to go out with a patient.

0:39:240:39:27

I won't tell if you won't. You won't tell, will you?

0:39:270:39:30

No.

0:39:300:39:32

I can't. Sorry. But thank you for asking.

0:39:320:39:37

I'm going to check to see if they're ready.

0:39:370:39:40

Can't say you didn't try.

0:39:430:39:45

Nice and steady...

0:39:490:39:51

Can you keep a close eye on the monitor? Check for any ectopics.

0:39:520:39:56

That's looking OK. I've got a good image.

0:39:570:39:59

Three way tap and a drainage back, please.

0:40:020:40:05

Thank you.

0:40:060:40:07

You're doing really well, Riya.

0:40:120:40:14

You should start to feel better very soon.

0:40:140:40:16

Tachycardia reducing. Can we check her pressure, please?

0:40:180:40:21

Yeah. Good work, Lily. It's good to have you back.

0:40:270:40:30

Is she going to be OK?

0:40:320:40:34

Thanks to Lily, yes.

0:40:350:40:38

OK, let's get another ECG and speak to CCU, then.

0:40:380:40:41

Well?

0:40:520:40:54

You not going to open it?

0:40:540:40:55

Come on, mate. Tell me what to do.

0:40:560:40:59

Good, and again? Good.

0:41:140:41:17

I'm so sorry.

0:41:220:41:24

The number for our Auntie Carol.

0:41:280:41:30

You hate her.

0:41:320:41:33

She's all right. She's just a bit nosey.

0:41:330:41:36

Don't tell me. She tried to help, and you told her to get lost.

0:41:360:41:39

I'll give her a ring.

0:41:390:41:41

Look, the main thing is you getting better, all right?

0:41:420:41:46

Still think you might want to be a doctor some day?

0:41:460:41:48

That's not exactly going to happen now, is it?

0:41:480:41:51

You took excellent care of your sister.

0:41:510:41:53

Considering what she's been through, she's in good shape.

0:41:530:41:57

We'll get her a referral to see a rheumatologist.

0:41:570:42:00

And for what it's worth, you'd make a great doctor. Study hard,

0:42:020:42:08

and if you do well in your A-levels, come back and see me.

0:42:080:42:11

I found your trainers. They were by the back door.

0:42:320:42:35

Your dad's nearly finished loading the car.

0:42:350:42:38

I don't want to go.

0:42:410:42:43

Come on.

0:42:480:42:50

Promise you'll come and visit me?

0:42:520:42:53

I promise.

0:42:550:42:56

How else am I going to check up on your medical studies?

0:42:570:43:00

All right, go.

0:43:040:43:05

Well, there's no point in this lot going to waste.

0:43:200:43:23

We should have another stag do in Cal's honour.

0:43:230:43:26

No. No way!

0:43:260:43:27

I don't remember the last one!

0:43:270:43:29

I do. I'll be at home in bed with a cup of cocoa.

0:43:290:43:32

You know what, I'm going to wear this anyway.

0:43:320:43:34

Can I keep her?

0:43:340:43:35

Why not? One for home, one for the office.

0:43:350:43:38

She's a good-looking girl.

0:43:390:43:41

Way out of your league.

0:43:410:43:43

Mm. I think I've probably had worse.

0:43:430:43:45

You can drain a pericardial effusion but you can't talk to a boy?

0:43:480:43:51

You need to have a serious word with yourself.

0:43:510:43:54

Hey, I thought I should let you know

0:44:000:44:02

a date's been set for the consultant interviews. Three weeks from now.

0:44:020:44:07

-That's soon.

-Hm-mm.

0:44:070:44:10

Tell me about it. I look forward to receiving your applications.

0:44:100:44:13

-Dr Chao.

-Hm?

-I hope you're thinking of applying.

0:44:150:44:19

I heard you did some great work with a patient today,

0:44:190:44:21

a young girl with arthritis.

0:44:210:44:23

I missed a pericardial effusion.

0:44:230:44:24

And you saved her life. No doctor can spot everything, Lily.

0:44:240:44:30

It's how you deal with the consequences - that's what really matters.

0:44:330:44:36

I'm flattered but I haven't passed my fellowship exams yet.

0:44:360:44:39

Exams are in two weeks. I suggest you start cramming.

0:44:390:44:44

Look at you, all dressed up. Where are you off to?

0:45:040:45:06

Dressed up! I just put on the first thing I saw.

0:45:060:45:09

Just...just get it over with.

0:45:130:45:16

What are you talking about?

0:45:160:45:19

Look, I'm not an expert, but I know body language,

0:45:190:45:21

and all I'm getting is "not interested."

0:45:210:45:23

Look, Jez, the thing is...

0:45:250:45:27

Look, do we have to do this face-to-face?

0:45:270:45:29

Can't you just finish it by text like a normal person?

0:45:290:45:31

I'm not finishing with you.

0:45:330:45:35

You're not?

0:45:370:45:39

No.

0:45:390:45:40

I just want to keep it on the down low, so my family don't find out.

0:45:420:45:45

Yes, that'll work.

0:45:460:45:48

I will tell them.

0:45:500:45:52

But just not yet, OK?

0:45:540:45:57

OK.

0:45:590:46:00

You know, for a minute there, I thought you weren't going to let him go.

0:46:270:46:30

He's with his father. It's where he should be.

0:46:300:46:32

Yeah. It's always hard saying goodbye to the ones we love, eh?

0:46:330:46:37

Thank you for helping today.

0:46:410:46:44

That's what friends are for, eh?

0:46:460:46:48

Right. I'll see you tomorrow.

0:46:480:46:50

Would you like me to come in?

0:46:520:46:53

I could cook us that... risotto you always liked?

0:46:550:46:59

Maybe some other night.

0:47:020:47:04

OK.

0:47:040:47:05

See you tomorrow, then.

0:47:070:47:09

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