Do Not Stand at My Grave and Weep Casualty

-I can't feel a pulse.

-Oh, no, no, no, no, no.

He was unconscious when I found him. He wasn't in any pain.

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

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

Are you not as unreconstructed as you look?

What?

Scott Ellisson's been released.

Police don't have anything on me. I'm in the clear.

Yeah... Let's hope they catch whoever did it.

Where are you? Where are you?

Can you hear me?

Where are you?!

CRIES

Cal?

Hi.

Hi.

How long have you been up?

A while.

-You OK?

-Yeah.

What's that?

Ah, that is...something I've got to do.

BEEPING

Oh, wow!

The Hope and Anchor are going to lay everything on for free tonight.

RINGING Great.

Hello?

Yes, it is.

Oh, right.

Yes - yes, I would like to do that, yeah.

OK, thank you.

That was the Patient Affairs office.

They've got some of Cal's valuables.

OK, well, I'm going into work. I could pick them up on the way.

No, no, I'd like to do it.

It's going to be an amazing send-off.

Take that off. Makes you look like you're going to deck someone.

Get off. Got an 'eadache.

What? Don't you believe me?!

C'mon, son. This'll be good for you!

Going to France with a bunch of losers who can't stand me when I don't even speak a word of French?

Well, how else are you going to learn?

Well, it did you a lot of good, didn't it?

Sean, you need to start making an effort.

We have to start getting back to normal.

What - you think this is normal?

Whatever. What's the point? Just go.

Hey! Don't forget these. Take all three...

With food. Yeah. I know.

Here.

A tenner?! Wow(!)

Try and stay out of trouble, yeah?

And don't feel pressurised to eat the food in France, OK?

I put a whole week's worth of gluten-free bread in there.

Yeah, all right, Mum.

Oh, come here, baby girl.

You're going to have such a great time, eh?

There we are. Party on!

Yeah.

What is she wearing?!

Love you!

THEY LAUGH

"..Unprecedented outpouring of grief as police hunt for new leads."

New leads?!

Come on, man - how much evidence do they need?

Everyone knows who did it.

Oh, my - is that from your stag?

Yeah. That's just before the tattoo incident.

That was priceless.

All right, don't set her off.

Oh, wow - that's lovely - who did that?

Oh, Max and I thought we'd put something together for the church.

Sorry.

I can't look at these any more.

Looks like there'll be a huge turnout for the service.

Yes, seems nobody wants to miss the opportunity of gegging in on a good funeral.

Dylan, I know with Connie not being back this place is a bit of a mess,

-but if you...

-"Bit of a mess"? Nah.

Understaffed, demoralised, jobs hanging in the balance.

Living the dream, aren't we?

All hail Strachan.

Louise, I asked for a repeat obs on this patient half an hour ago, yeah?

All right!

I know, I know - I'll speak to him.

Still can't believe it.

I keep expecting him to walk through that door.

Late as usual.

Massive hangover.

Yeah, and shouting - "April Fool - I'm not dead after all!"

David.

Well, I know who would love this moment.

I'll see you later.

-All right?

-OK.

EXCITED CHATTER

Come on, guys, sit down.

Seat belt.

Buckle up.

Is he joking?

Bye.

Good news, is it?

I can never quite tell by looking at you.

I passed my fellowship exam.

What? Lily, that is brilliant!

I knew you would, you clever clogs.

Poor bloke.

I bet he can't wait to get today out of the way.

And here's me celebrating.

Don't be daft. He'd be made up for you.

So, anyway, does this mean you'll lay off for a while?

Take it easy on yourself?

There's more to life than just work, you know.

ALL SHOUT

Sit down!

Can I have those back, please?

Sit down!

ALL CHATTER

Sit down!

Oh!

That's disgusting.

LAUGHTER

Hi.

Hey.

"At peace now."

He was stabbed - he was murdered.

Don't do this to yourself.

He was...bleeding...right here and the man that killed him is out there, free.

Right, you need to stop this.

Let's just get through today.

OK, one foot in front of the other.

BEEPING

Oh!

It's fine. You go.

I'm OK.

CHATTER

Pass me the phone.

Sit down!

Sit down now!

HORN HOOTS

Argh!

No, no, no - you listen to me.

This patient's been waiting for a bed for three hours, yeah?

Well, either you clear your bed or I will come up there and I'll clear it for you. OK.

-I need to talk to you.

-No, you don't.

What right have I got to be here?

Really, David, I'm not in the mood for an existential crisis.

A young, vibrant medic has just lost his life

and I'm...living mine with no...no...no passion.

OK, well, you know, join the queue.

Look, I'm serious.

The only time I ever feel anything is when I'm off my meds -

yes, and I can't do that.

The last time I looked I wasn't a psychiatrist.

Oh, yeah, for all the good he does.

He just sits there prescribing more and more medication.

No, no, I need something else.

"There is one thing that one must have -

"either a soul that is cheerful by nature..." - that's me, obviously -

"..or a soul made cheerful by work, love, art and knowledge."

Nietsche. He seems to have something to say about most things.

Major RTC coming in.

What did I say? Living the dream.

-I've been meaning to say.

-Yeah?

I know you're struggling. We all are...

"Struggling?" What do you mean by that?

Well, despite your best efforts I don't think you're nearly

as thick-skinned as you'd have us all believe.

OK, well, perhaps if you spare me the pep talk for this morning.

Good morning.

Is it?

Charlie, have you been able to identify any patients that we can potentially shift immediately?

Not just yet.

Well, I think we should. Don't you?

-Just in case.

-You're going to conjure a clinician out of thin air, are you?

No, Dr Keogh, I have absolute faith in everyone.

What's happened?

Er... Coach crash.

Right. I'll give you a hand.

I know. One foot in front of the other, right?

Just trying to get through today.

Iain.

OK, this is Sean McKern, 14 years old,

was involved in a coach RTC,

on which he hit his head on the back of his seat.

Paeds Resus.

No loss of consciousness, no C-spine tenderness at the scene,

he has got an injury to his lower right leg, query fracture tib/fib.

Given him Entonox en route with good effect.

Pulse 80. BP 100 over 60. Resps 16.

Police are trying to contact his dad.

Right, Sean, when you're ready, mate.

Nice and gentle, can you wiggle yourself across?

-That's it, nice and easy - well done.

-Good lad.

Hi, Sean, I'm Dr Hardy. Let's get a line in and get some bloods, please.

Apparently, he got into a fight on the coach which caused the crash.

Right, let's just ease off your hoody, shall we?

It's good bilateral air entry.

I'm just going to have a feel of your neck.

Does it hurt anywhere else apart from the leg?

We're just going to pop on some monitoring now and then we'll keep on trying to contact your dad.

Good luck.

Anyone else we can call? Your mum?

You're welcome to try. She's dead.

I'm sorry.

So am I.

So is everyone else.

OK, you can rest back now.

Any pre-existing conditions, any allergies we should know about?

Dunno. Throat infections.

Throat infections?

Been having blood tests for them.

OK, and that was here?

Macclesfield - we just moved.

Right. Any medication?

Nah. Just...vitamins.

Sorry, vitamins?

In my bag.

Do you know what these are?

Ask my dad - he makes me take them.

OK.

They don't look like vitamins to me.

Shall I call Toxbase?

I'll do it.

Could you get 5 milligrams of morphine, please, and let's get

the tib and fib X-rayed and pop a Vac splint on.

Sky Loates, age 14, involved in the coach RTC 40 minutes ago.

Tender distal radius query fracture, various abrasions.

Neck cleared on the scene.

Pulse 80, resps 22, BP 115/70 sats 99%.

She had some gas and air en route.

Ah, yes.

Apparently, the vomiting started before the crash.

Right. Hello.

I had a kebab yesterday.

That's nice.

OK. Pupils are equal and reacting.

Please don't tell my mum. She'll kill me.

She feels very strongly about processed meat.

Well, good for her.

I'd like to have a look at your tummy now if that's OK.

Thanks, David.

Is there anything else she feels strongly about?

Yeah.

Sugar, dairy, TV. Smartphones.

Rock on.

So, clearly she doesn't believe that

what doesn't kill you makes you stronger.

Who said that?

Nietsche.

Indeed.

OK, I'd like to have a look at that wrist now, so could you...

Sorry.

..pull the bed up for me.

Ow.

But, he also said woman was God's second mistake, so, you know...

Mm. Hm, OK, let's get the wrist X-rayed, please.

Can we have 50mgs of Cyclizine, a gram of paracetamol IV

and let's hook up a litre of saline as well.

Have you had paracetamol before?

Er... We use arnica at home.

OK, well, when you're here, I'm the boss, all right? So, enjoy.

Honestly, this looks amazing.

What would I do without you two, eh?

It's fine. Anything you need, just let us know.

Hi!

-Ethan.

-Yeah?

Just about the order of service.

That looks perfect, thank you.

Oh, hi, it's Dr Hardy from the ED.

Yeah, I'm just hoping you can help me identify some pills.

Right, I'll see you later.

The dosage is three a day?

Yeah, I can get them sent up. All right, thank you.

Cutting it fine, aren't you? Have you seen the time?

Yeah. It's fine, honestly.

Sean McKern's just come back from X-ray.

Get off! It's not funny!

Oi, oi, oi. You heard her. Get out.

You all right?

You're welcome!

Dr Hardy is just looking at your X-ray then we can fix you up

with some more pain relief.

Sean! I'm Michael McKern, Sean's father. I'm sorry, I got here as quick as I could.

Lost your way again?

C'mon, son - they shut the dual carriageway - I'm still trying to work out the satnav.

Epic job. Well worth moving here for.

Sean, please.

Right, Sean has a slightly displaced fracture,

so I'm afraid it will need surgery under anaesthetic in theatre.

Theatre?

Right. Well, can I have a word, please? In private?

Why, you going to tell him what a problem kid I am?

-No, of course I'm not!

-RINGING

Great idea sending me on this trip.

Hello. Yes, it's Dr Hardy.

Yeah, I am with the father now.

Right. OK, thank you.

OK.

Outside? Please?

Right, well, the thing is...

I made some enquiries about the pills Sean's taking.

They're HIV drugs.

He has no idea, so can you tell me why?

OK, the good news is that the X-ray shows there is no fracture,

it's just a sprain.

So you didn't really need the X-ray, then.

All right, Mum.

Obviously she needed the X-ray to discount the fracture.

Yes, well, I suppose that's why we go to the GP and not rush to the ED, eh, sweetie?

And who is your GP?

The Larks.

It's an alternative practice.

They're amazing.

They must be if they've discovered an alternative to the X-ray.

Right, er...good as new.

Brill! Right. Come on, let's see about getting you home, munchkin.

Brill. Excuse me.

Maybe I...got a tummy bug?

OK, was she feeling unwell before the trip?

Bit tired, maybe, but she was so desperate to go.

She's quite sensitive to air quality, and it's not great here, is it?

So, Sean got HIV from his mum?

Yeah, when he was born.

She had no idea until she was diagnosed with a brain tumour...

..then the tests revealed that she was positive.

Maybe...that's what made her more prone to the cancer.

Anyway, they tested us both then.

I tested negative.

I'd give anything for it to be the other way round.

And...why have you never told him?

What...

"Your mum's dying of cancer and, by the way, you're HIV positive"?

Rachel didn't want it like that.

Did he never suspect anything?

You know, the blood tests, the pills...

I don't know. Maybe. Maybe he has. Maybe he's too scared to ask.

But he does go for blood tests?

Yeah, and those sessions, but I asked them to keep things vague.

He's now a teenager.

I will tell him. I will. When the time's right.

But not now. Not yet.

I'd...better get back to him.

He'll be wondering where I am.

My head really hurts.

Her glands are quite swollen, aren't they?

Is Sky up to date with her vaccinations?

Well, she's not had the MMR.

Yes, I know what you're thinking, but I have done my research.

Well, then you'll know that the concerns about MMR

have been totally discredited.

Enormous amount of harm has been done by the anti-vaccination lobby.

Sky has Mumps.

Mumps?

Yeah.

That can make you deaf, can't it?

Don't be silly! Look, I've had Mumps - it's just a childhood disease.

It's a very infectious childhood disease and one that can have very serious side effects.

It's also what is known as a notifiable disease

which means I am now obliged to contact public health

and every member of staff that's come into contact to Sky.

None of which is your fault, obviously.

So, I'll just go and do that, shall I?

Half-hourly obs, please.

"He was conscious when discovered,

"was found to have a stab wound to his chest with reduced air entry on the left.

"He was taken into the hospital where he deteriorated."

-I know it's frustrating, but...

-Yeah, you can say that again.

Everything is just one big conspiracy to these people - JFK, Elvis, the moon-landings.

Honestly, never - I mean it - NEVER underestimate how ignorant people can be.

Well, you know what they say - each to their own.

You got any more cliches? What's next?

"It's all good"?!

Well, if it helps, I've-I've been reading, like-like you said.

Well done, you. Think you might have missed that one.

"There's no defence against stupidity."

You said it.

How long before he goes to theatre?

Why - meter running out?

Dr Hardy?

Ah, yes, I'm going to... I'll give them another call.

Can we elevate the leg?

Arghhhh!

OK?

It just hurts between my legs.

Ethan, I think we should exclude a Torsion, don't you?

Yes. I'm sorry. I'm going to have to give you a quick examination.

If that's OK. Right.

Yeah, there is a swelling.

It feels quite hot.

There's a swelling?

Temperature is up slightly.

He has a fever?

Told you I wasn't very well. Didn't listen to me.

Let's start with a gram of Paracetamol. I'll be right back.

Dr Keogh, can I have a word?

Oh, yeah, Ethan.

Sorry. I'm so sorry that I won't be able to be there today.

I tried to get the shift covered, but...

It-it's fine. I've been having a look at this.

Where did you get that?

It says here the cause of death was cardiac arrest secondary

to cardiac tamponade and massive haemothorax due to blood loss? Yeah?

Yeah, that's correct.

You found him at 20.19?

Hm-mm.

But you think he was stabbed 32 minutes before?

It also says his airway was patent,

which means he was conscious this whole time he was bleeding.

You said... You said that he was unconscious when you found him.

Ethan, why are you doing this to yourself?

He must have said something for you to write that.

Does it matter now?

It matters to me, yes, I want to know.

No, I don't think you do. In fact, I'm sure there are some things that you don't want to know.

Look, you weren't there. There was nothing you could have done.

It's not your fault. For those of us that were...

Dr Keogh. Your patient with Mumps. David just called.

OK, I'll be right there.

I believe Sean has Mumps.

Mumps?

I'm afraid I'm going to have to let theatre know,

and it's unlikely that they'll take him in today.

But he can't have. He's had his MMR.

Well, if his immune system is compromised, he may not have responded to the vaccine,

or he may have responded but not for the same length of time.

But he's been taking his medication.

He should be protected.

What are you whispering about?

What? What's with all the looks?

Do you think I haven't noticed?

You've been taking your pills, right?

Why?

Sean! Yes or no?

No! No, I haven't. What's the big deal, anyway?

They're just vitamins, aren't they?

You going to tell me what's going on or are you just going to shut me out like always?

-Talk about me like I'm not even here?

-Sean, please...

Cos that's what you did when Mum was sick, didn't you? He didn't even tell me that it was...

the end. I didn't even get a chance to go and say goodbye.

It wasn't like that.

You thought I didn't know what was going on?

While I was sat there in a maths exam when she was...she was dying?!

I was trying to protect you.

I didn't need protecting! I just wanted to know!

I had a right to know!

What is going on?

It's true. He has a right to know.

I think you should tell him.

Tell me what?

Tell me what?

Yeah, I'm not happy about this meningism - I think we might be missing something.

Let's start her on IV ceftriaxone and set up for a lumbar puncture.

-Lumbar puncture?!

-Yeah, it takes about ten minutes. It's done under local anaesthetic.

No. No way.

Ms Loates, your daughter is running a high fever, she's showing

sensitivity to light and a stiff neck - I think that we need to find out what's going on.

See, this is exactly what I was talking about.

Once you get through those doors it's all about over-monitoring and over-treating.

-It's not about the patient at all, it's about insuring your backside!

-I'm sorry - shall we..?

It's interesting that you say that in light of your decision not to vaccinate her.

What were YOU thinking? You were relying on everybody else to do it for you?

Of course not!

In any event, if you had, she'd be on her way back home now with her arm in a sling.

You are the reason she's here. You are the one who put her at risk.

Now can we prep for the lumbar puncture, please?

HIV? Isn't that AIDS?

No, Sean, no, it isn't.

No, HIV is a virus. AIDS is a syndrome or a condition.

When you're infected with HIV it can lead to AIDS,

but there's no reason why that should happen nowadays

as long as you take your medication, as long as you're monitored.

You told me they were vitamins!

Look, I know it must be very difficult to take all this on board,

but you must know that with proper management...

The blood tests?

They were to test the level of the virus in your blood.

The mumps - I got them from school, what, because I didn't take my medication?

Well, I can't be sure, but not taking your medicines can affect your immunity, yeah.

Sorry.

The thing is, Sean, now that you know, you can make sure that you do take them.

You see, knowledge is power.

Right, we're going to take you through to cubicles,

and I will call someone who will come down and talk you through all of this.

You can leave this to me. You should really go.

Can I have a word with you, please? In private?

-Now.

-Yes, of course.

I told you I will tell him when he's ready. It wasn't your call!

When he's ready or when you're ready?

You can't keep putting it off.

I have a duty of care. I can't stand there and lie to him.

Good for you! You're his doctor. I'm his father!

Exactly, so you should be in there, dealing with it.

-It's 2017!

-I trusted you, and you played God with my son.

Excuse me. You have to go. Go.

-Shame on you.

-Come on, Ethan, let's go.

Mr McCann.

What's happened now?

I'm afraid your son has left the department.

I mean, I'm amazed he could even get off the trolley.

You what? You mean, you've lost my child?

We have alerted security.

We'll find him.

He won't get far with that fracture.

OK, you know, I'll take over from here. You need to get going.

Let's go.

Ethan, please let the others sort this out.

I-I have to see this through. I'm sorry - you go. I'll be there.

Please, just-just go.

HE YELLS IN PAIN

We haven't got enough memory cards.

No.

These are the days when I hate my job.

Me, too.

Where is Ethan?

He's a big boy. He'll be here.

Yeah, he's here!

-OK.

-We've got him. Call theatre - looks like he'll need to go straight in.

Oh, my. Sean, what have you done?

Don't touch me! I'm infected!

-No, no, Sean...

-No, son.

It's true. What's the point? I've got no life now.

Don't say that.

People are going to think that I'm...

that I'm dirty, and then I'm just going to die.

No, no - Sean, you're going to get help. Calm down.

I'm going to get cancer, like Mum did, and then...

All right, guys, let's get him up - come on.

Get...away...from my son.

I'm so sorry.

OK, OK, that's it, mate. OK.

You need to let this go.

All right? You know where you need to be now.

OK, ready and lift.

Oh! Argh!

Hey.

-Lofty!

-Mate.

-Nice to see you, mate.

-Good to see you.

He always was a ladies' man.

Remember when Taylor first came in? I thought she was completely

out of his league and then she fell for him, too.

It was beautiful. Then she fleeced him for everything, didn't she?

Still. He sent the girls gaga. All of them.

Guys.

They're just taking the flowers over to the church.

Do you want somebody to call you a cab? You should be there, shouldn't you?

Dylan... I don't blame you, you know.

Um...

He was conscious when I found him. He was asking for you.

He wanted to know you were OK.

RINGING

Ethan! Where are you? Call me back, please.

Coast clear? The result of the lumbar puncture was negative,

which is good.

Well, your temperature's gone down a little bit,

which is also good. How do you feel?

Tired. Hungry.

Oh!

Oh, well, I don't know if...

I think perhaps you need to come out to your mum with regard to your eating habits.

I don't want to upset her.

Well, you can't please all the people all the time.

Ah, you don't say.

There wasn't much there, but I did manage to get you a banana.

I owe you an apology.

I, um... I lost my patience with you. It wasn't helpful.

No need. There you go.

At least it's Fairtrade.

Anything? Hang on.

Oh, gosh. He isn't...

Looks like it.

Oh, it's Tweedle Dee and Tweedle Dum.

We need to sober him up.

C'mon, mate.

MUSIC: One Day Like This by Elbow

Oh, crikey! I think we might run out.

Better not.

RETCHING

And again.

You're hardcore, you are!

Ethan, you need to get in there.

I don't want to.

You have to, or you'll regret it.

I don't care, Lily.

We all have to do things we don't want to. Just-just...man up!

Man up?

Wow, yeah. Coming from you?

I mean, everyone knows how you feel about him, so...

You're scared. It's pathetic!

You're going to wind up a dried-up, bitter old cow.

Ethan?

Tell them I'm coming.

He-he didn't mean that. It's just...

I'll see you inside.

No.

MUSIC: Chasing Cars by Snow Patrol

Sorry, thank you.

Hi.

Sorry, um...

Thank you for coming.

For those of you who don't know me,

I'm Ethan... I'm Cal's brother.

I had big plans this morning to do something...

Uh...

Cal...

I don't-I don't know whether you're out there, or...

..in here, somewhere...?

Ah...

I-I tried to write you a letter which I want to give you -

but the days just got away from me and...

It's really not very...

"Cal, you big oaf.

"I know you haven't prepared for this because...

"..you never prepare for anything.

"So I've decided I should send you on your way with a few things.

"A bottle of whisky.

"In case you need a drink"...

I'm sorry there's not much of that left.

"Socks...

"..in case your feet get cold."

"Crisps..."

HIS VOICE BREAKS, HE EXHALES

Sorry.

"Crisps".

Sorry.

Thank you. Please.

"Crisps -

"in case you get hungry.

"And Milky Bars...

"..well, I had to, didn't I?

"Condoms...

"Well, you never know what

"heavenly creatures may cross your path.

"And I charged your phone...

"..cos I know how much you love your music.

"And just in case...

"In case you get lonely...

"..and you want to give me a call.

"Though if whatever they say about where you're going is true,

"you're going to be having too much of a good time

"to be thinking about me".

MUSIC: Champagne Supernova by Oasis

# How many special people change?

# How many lives are living strange?

# Where were you while we were getting high?

# Slowly walking down the hall

# Faster than a cannonball

# Where were you while we were getting high?

# Someday you will find me

# Caught beneath the landslide

# In a champagne supernova in the sky

# Someday you will find me

# Caught beneath the landslide

# In a champagne supernova

# A champagne supernova in the sky... #

"A soul made cheerful by Work, Love, Art..."

This is kind of arty, isn't it?

# Wake up the dawn and ask her why

# A dreamer dreams, she never dies

# Wipe that tear away now from your eye

# Slowly walking down the hall

# Faster than a cannonball

# Where were you while we were getting high?

# Someday you will find me

# Caught beneath the landslide

# In a champagne supernova in the sky

# Someday you will find me

# Caught beneath the landslide

# In a champagne supernova

# A champagne supernova

# Cos we don't believe that they're gonna get away from the summer

# But you and I will never die

# The world's still spinning around, we don't know why.. . #

KNOCK AT DOOR

Please...

I just wanted to say something. Then I'll go.

Me and my brother - Cal...

We were both adopted,

and our birth mother had a hereditary disease

called Huntington's.

Cal didn't tell me, and...

..then he had me tested without my knowledge and I was positive.

I hated him for it.

I was so angry, I...

I said I'd never forgive him.

My condition is incurable, Sean.

I can't do anything about it.

It's...

It's a ticking time bomb.

But you can manage yours.

You can have a family.

You can live a healthy, normal life.

Hang on.

So...did you forgive him?

Yes, of course.

Life's too short.

I should have let you be there. Your mum.

I shouldn't have kept you away.

I should have told you about the HIV.

I'm scared.

Don't be, I'm not going anywhere.

Ethan.

Mrs Beauchamp.

How are you doing?

Don't answer that, I'm sorry.

And I'm sorry I wasn't there earlier.

I said my goodbyes here, with everyone else.

It's OK.

What are you doing now?

I'm yet to say my own goodbye.

Well, keep up appearances. Don't let the side down.

Thank you.

OK.

So this is it.

For you and me, bro.

I've got to say goodbye.

Scott?!

Hey!

Oi!

Scott!

Scott!

Scott!