The Big Day Casualty

Between the two of us, we've got this place covered.

Sorry I took so long, sweetheart.

I had to go back to the house to get some things,

cos it means I don't have to leave you again.

He's had an accident!

I want you to know that I got your message,

and the answer is yeah, I will marry you.

For better, for worse, for richer, for poorer,

in sickness and in health.

In sickness and in sickness, you mean?

Chapel all sorted?

Yeah.

-Ow!

-Sorry.

Other side, love.

Hey, let's write our own vows,

none of this, "In sickness and in health, better or worse," nonsense.

It's cheesy, innit?

We're done lying to each other, OK?

OK.

Oh, there's a life insurance policy in the drawer there,

we need to change the next of kin.

Erm, we'll have to do it later - my shift's started.

-I'll see you at our wedding.

-You will.

-Oops.

-Ow, ow, ow.

-Sorry.

You will.

Hey, don't run.

SHE HUMS WEDDING MARCH

What did they say?

Just a warning - can't ring again unless it's a genuine emergency.

Well, try to listen.

I will, promise.

Sorry.

Stop saying sorry, just do something about it.

I'm embarrassing you.

You're not. Just stop ringing the police, there's nobody after you.

Let's go home and put a film on.

Sorry, I didn't realise you were...

How's Grace?

Stable.

-And you?

-The same.

You know where I am if it gets too much.

It won't.

You still look lovely though, even without make-up,

I don't know how you...

..manage it.

Right, I'll just leave you to it.

That's not the face people normally wear when they're about

to issue a grovelling apology.

I'm sorry I was late, I was visiting Glen.

Hmm. You owe me ten minutes.

Robyn? Can I get a receiver, please?

Marriage licence arrived, registrar booked, chapel sorted.

-All systems go.

-When?

Under the circumstances, today.

You're kidding?

You're not.

No time for family to get here, so no Mum.

-You'll have to be my maid of honour.

-Doesn't that mean I've got to marry the groom if you do a runner?

-I'm not going anywhere.

-Lucky for Glen.

Robyn? Seems be a member of staff short in resus. Come on.

Erm, keeping it quiet, OK? No fuss.

Yeah.

Listen, I've got this mate who can sort us out with some cheap flowers.

I'm thinking, erm, white?

I'm not casting aspersions, but let's go with cream.

Babe, we're not being followed.

I know.

Dad? Social worker's due in half an hour.

Dad.

Dad!

Dad! Dad!

Boof!

So not funny.

You know they're not messing about.

Don't worry, I won't let you down.

-I promise.

-Joker.

Want to talk?

Babe, I spoke to my mum.

She says if you're going to stay at mine, you should get some help.

-Pull over.

-No, I didn't say I was going to, it's just...

Look, pull over!

He is following us.

It's some old bloke.

Sorry.

Let's go to the hospital.

-No.

-Why not?

Cos they'll think I'm mad.

Did you know Connie was sleeping in the on-call room?

Yeah, it makes it easier for her to see Grace.

You should have mentioned it.

I bumped into her, she looks exhausted.

-And she's being rude to everyone.

-What?

Look, she's gone a bit feral, bites anybody who comes near.

Look, don't take it personally - I try not to.

Connie ?

You're back?

-Looks like it.

-You don't think...

-You look fantastic.

-I've got this.

RAP MUSIC PLAYS

HE WHISTLES

I cleaned the toilet just in case they need to go.

Kitchen's tidy, bedrooms.

Stop worrying, right.

You can turn that noise off though,

don't want them thinking I've raised a gangster.

CLASSICAL MUSIC

-Better?

-Oh, yes, much more fitting.

See? You see, it's the same car!

It's probably lost.

That's...

That's been there for ages, I swear it.

-Turn here.

-No.

-Turn here!

I thought you were clean.

I am, son, just...

Let's flush it together, yeah?

You lied to me!

I don't... I don't want it. I don't need it.

Joel.

Joel!

What are you doing?

-Get in!

-Get off me!

Joel!

Joel!

I'm coming!

It's a Boy Named Sue.

What's that?

It's a Johnny Cash song about this kid whose dad named him Sue,

so he'd grow up tough.

That what happened to you, Jeremy?

What's that supposed to mean?

RADIO: Holby Control, this is 30-06, report coming in of an RTC

on Pierhead Avenue, will update you as more information is available.

30-06, receiving, on our way. Over.

Jeremy. Bit public school, isn't it?

That's a bit rich, innit, coming from you?

Mr Ex-Corporal, you and all your Hooray Henry mates.

Yeah, it was so not like that.

I used to rub shoulders with Prince Harry.

It was always, "Oh, Harry, pass the grouse, old chap."

Collar turned up on your polo shirt.

Yeah, whatever you say, Jeremy.

You OK, son? Can you hear me?

You're going to be OK. You're going to be fine.

I'm sorry.

I'm so sorry.

You'll get the help you need now, yeah?

Danni?

Danni!

Stay with me, son.

Over here, over here!

Yeah, but she seems to be coping.

Yeah, she'll convince herself that's exactly what she's doing.

I'll keep my eye on her, try and take some of the pressure off.

All right.

Mrs Croker?

Gently does it, OK.

You free at break?

That's it, reverse in.

Good, good. OK, all done.

Oh! It's all right, we've got you.

You all right?

That's it, mate, try and stay focused on me.

My name's Jez. Can you tell me your name?

Are you Feds?

OK, his airways are clear.

Nice and still, buddy.

I'm just going to feel down the back of your neck, OK.

Just tell me if it hurts.

Listen, just stay nice and still until we've checked you over, all right.

Just relax, you've been in an accident.

Can you remember what happened?

OK. Listen, I'll keep him stable, do you want grab the neck braces?

On it.

Nice and still, mate.

You're doing really well.

OK, we're going to take you to hospital now, get you checked out.

Do I look as rough as I feel?

Well, I'd say you started off fair, moderate to good,

rising more slowly with a niner now blowing in from Cromarty.

Or just, "Yes."

If you'd put half as much effort into looking after yourself

as you do looking after Glen...

Look, I just skipped breakfast, OK.

I'll grab a coffee and a butty and I will be fine.

What exactly are you doing?

Blood test.

Suspected anaemia.

Honestly, there is nothing wrong with me.

Well, you can have the blood test or you can go home. It's your choice.

Well, I can't go home, cos I've got...

Fine.

Is it nearly over?

Finger, please.

And can you fill that for me, please?

Not this second, obviously.

Hi.

Hi.

Do you fancy some post-wedding drinks?

Oh, erm...

Robyn and Glen. Max told us, it's all very hush-hush.

Yes.

Great, I'll be there.

Cool.

Tell you what, I'll see you there too, OK.

I'd wait to be invited if I was you.

David refused to wear his.

Hey, I didn't need asking twice.

There you go. Ready lads?

Turn.

Ta-dah!

Aw. Ha-ha!

OK, so we've got non-alcoholic lager,

low fat crisps and yesterday's sarnies from the caff.

Hey, what more could a man ask for?

A stripper?

Uh. Here we go...

No, no, no, no! Ha-ha!

I've got this.

What have we got?

Steve Foley, 28. At approximately 9.10, driver in an RTC...

Jez found this at the scene, it'll need processing.

..30mph.

Restrained and airbag deployed. Suspected head and neck injuries.

GCS 14, BP 100/70, pulse 96, resps 20.

Great. Dylan, Robyn, you take Steve, small resus,

I will take the boy.

Connie, if you could run cubicles, please?

You take cubicles.

I just think it might be better...

Worth a try.

See, women have this vision of married life -

it's that white picket fence, roses round the door kind of thing.

Yeah, I don't think Robyn does.

There's no-one with their feet more firmly on the ground than our Robyn.

No, I'm just saying they're all after a bit of normality.

Define normality.

Ah, I don't know... Happy.

Grounded.

-I need to take obs.

-Right, that's us then.

Do you want me to pop up later and help you with your wedding togs?

-Oh, thanks.

-See you at the altar.

Make the most of the time you've got left, mate.

I mean, as a single man.

Bachelordom.

Obviously.

Query head injury, fractured tib and fib.

-ABCs are clear.

-Is he going to be OK?

-Argh!

-All right.

-Dad.

It's all right, son. I'm here.

Pain relief?

5mg of morphine in the ambulance.

All right, let's top it up with IV paracetamol, please.

You have taken a bang, Joel.

All right, we'll try and make you comfortable.

How did it happen?

The stupid balcony,

I've been saying for years how unsafe they are.

OK.

Right, BP?

115/60.

OK.

Resps, pulse?

24 and 100.

And, Dad, any allergies?

I don't know.

Maybe it's better if you wait in the relatives' room?

Not necessarily.

If it was my child, I know where I'd want to be.

Right, let's get him to CT, please.

All right, Steve, you're OK, you're OK.

Got superficial cuts to the arms and the face.

Can we have oxygen, please?

-Did you manage to squeeze something out for us, Robyn?

-Yes.

More than we've managed to get out of him yet, isn't it?

Might be something to do with your superb bedside manner.

Hmm.

No, he seems more than a little disorientated.

He's quite confused.

Possible head injury?

It is possible, but the paramedics told me

that there were drugs found at the scene,

so let's do a CT and find out if we've admitted him before.

Will do.

And, Robyn, can you chase up any medical records

while we're waiting for the bloods?

-It'd be good to know if he's on any medication.

-Uh-huh.

Danni.

All right, Steve, you're at Holby City Hospital.

I don't want to be.

Steve, have you taken anything?

Drugs were found at the scene.

I don't touch nothing.

They've planted it.

Someone's out to get me.

Where's Danni?

Who's Danni? Your partner?

Girlfriend, in the car.

Wait. In the crash?

I thought only Steve and the boy had been admitted.

No, it's only those two as far as I know.

OK, will you give me a minute? I'll go and speak to Iain and Jez.

Look, I gave you my word, all right.

The gear had been there for ages.

Promise?

178 days clean, son.

All right? I can't believe I forgot a stash, to be honest.

It's a cardinal sin for a junkie.

I said I'm clean and I am.

So why did you grab for them?

I was trying to stop you, people could have seen.

Look, I'm so sorry.

One of the ambulance lads found a baggy.

Tell them it's mine.

No. No way.

They'll send me back if it's yours, Dad.

Over my dead body they will.

They're ready for you now, Joel.

Rhys, we're going to need you outside now, my friend.

Everything OK?

Why wouldn't it be?

Just checking you have everything you need.

You'll be the first to know.

All right, try and relax, Joel.

Looks like a likely candidate.

Danni?

I'm fine.

You don't look fine, if you don't mind me saying.

I just needed some time.

Are you in any pain?

All right, Danni, we'll get you sorted, all right.

Dylan. According to these, Steve was referred to the psych unit

but didn't attend, so he's waiting for another appointment.

Why was he referred?

Evaluation.

His GP noted that he'd had more frequent episodes

of paranoia, psychosis.

OK. Was any medication prescribed? Has he any history of drug abuse?

-No, none.

-Thank you.

OK, so the CT shows no internal injuries.

That's good news, all right.

He's a very lucky boy.

He is, I know. Listen, erm...

This is a bit sensitive.

Social services are at ours now wondering why we're not there.

Could, erm...

one of you call

and make sure they know this was an accident?

He can't go back into care.

Do we know it was an accident?

It was.

Look, I can't lose him again.

How did you lose him in the first place?

Well, that's enough of the 20 questions. Yes, of course.

Thanks for the tip-off.

Danielle Reynolds, 28.

At approximately 9.10, driver in car versus stationary van.

Suspected fractured clavicle.

Steve's going to be so glad to see you.

Don't tell him I'm here.

What? He's worried sick.

I don't want him to know, OK.

Yeah, that's all fine, isn't it?

Results you ordered on a registration number.

Oh, right, thank you.

His haemoglobin is low,

his platelets are much lower than expected at 90.

White cell count also low.

There's something going on here, this isn't just about the accident.

I'll have a word.

Thank you.

Everything's fine with the scan, Steve.

I just want to have a look at your face.

Who planted the drugs?

Uh, we haven't found out yet. Who do you suspect?

Just have a look at the face there - what do you see?

Facial rash, friction burns.

Airbag?

Police, maybe higher? MI5?

Might be Danni for being mean.

Why me, doc?

Why are they going after me?

I don't know. Are you a terrorist?

Any affiliation to any extremist groups?

No? Maybe they just don't like you.

Anyway, you can trust me.

I'm a doctor to royalty, I've got diplomatic immunity.

Should you really be encouraging him?

Well, no, probably not, but we need to make sure that we don't have

any hidden injuries.

Can you ask the lab to run a reticulocyte count

-on the bloods they have for me, please?

-Mm-hmm.

There we go, be healed in no time.

Why didn't you come in with Steve?

Has he been like this for a while?

He says the strangest things. I'm starting to get scared around him.

Drugs were found at the scene.

Not Steve, he hates them - his brother went that way.

He won't take a paracetamol.

He's just...

..gone mad,

and I don't know why.

You need support.

Have you any idea how hard I tried?

It was months getting him a psych evaluation

and then he doesn't flaming go cos he thinks the office is bugged.

I could always ring through.

No. No, he won't go.

Keep him in.

Please, keep him in here, get him sectioned.

I'll go to my mum's.

You can't just leave him if he's in a bad way.

I can't stay and watch him like this.

We haven't been together that long, he won't even mind.

Well, at least say goodbye.

He deserves that much, doesn't he?

Sorry, I just...

..thought I'd take a few minutes, get my head together.

Yeah, it's not easy to see.

No.

I've got a lot of regret where that lad is concerned.

I think it's called being a parent.

What I wouldn't give for a second chance.

Trust me, they...

They have an amazing ability to bounce back.

Pun intended?

Oh, I'm so sorry. No, sorry.

Erm...

I have to ask.

This was found at the scene.

The...

couple in the car deny all knowledge.

It's...

It's not his.

No? OK.

One of his mates.

You know what it's like round there.

Look, he seems like a good kid and I'm sure the police

could do without the hassle, so please dispose of this.

Thank you.

Are you all right?

I'm going to be fine.

I was in the car.

You weren't there.

Where'd you go?

Where were you, Danni?

I was asking for you.

I'm here to say goodbye.

Danni, no. No, please, you've got to help me.

I can't give you the help you need.

I tried, I really tried.

Please, Danni, look, I don't know what's happening,

I didn't say that, I need you with me!

-Steve, you're hurting her.

-Get off.

No, no, no.

Steve!

You're going nowhere.

OK, you're hurting her.

She's not too bothered about hurting me.

I can get you help, somebody to get you through this,

but I need you to let go of Danni first.

Please, Steve.

You're her boyfriend.

If she was in danger, you'd be the one she'd call first.

Ah.

She said she's going to leave me.

I don't know who you are any more.

Don't say that.

I don't need to remind you, do I, Steve,

I have royal authority to look after you, OK?

Now, how long have you been feeling like this?

Couple of months, maybe more.

You're Danni, are you?

Any other symptoms?

Rashes, scars on the arms, paranoia, psychotic episodes?

Don't talk about me like I'm not here!

I should tell you, Steve, that Nurse Miller here is pregnant.

OK? I just got the results back,

so why don't you let both of them go and let me look after you?

Need anything?

Thanks, no.

No, everything's sorted.

Apart from wondering at the wisdom of Robyn

marrying a man in my condition.

She's going to be a widow in a few months.

I'm not quite sure she's got her head around that.

I think she has.

All that heartache for a few memories.

I'm asking a lot.

She loves you.

I wish I had women fainting for me.

Pardon?

Sorry?

Fainting?

Fain... What? Faint... No. I...

What is it? Say again.

David!

The rash on your face could be indicative of photosensitivity.

Have you had it for long?

Not sure. Weeks?

OK. Open for me.

Yeah, you've got some ulcers there, haven't you?

All right. Well, we'll run a few more tests and then...

OK. Robyn.

Any history of seizures?

None.

I'm not sure he knew what he was doing earlier on. Let's give him the benefit of the doubt.

I'd stand by with a small lorazepam as well.

OK, I've got you, I got you.

Stroke of genius before, by the way.

What's that?

Pregnancy. You almost had me fooled.

Um...

All right, all right, all right.

OK, OK, Steve, OK. OK. It's all right.

All right.

Almost done. It looked a lot worse than it was.

Yeah.

Girls like a scar.

So, no allergies then, Joel?

I am going to give you an antibiotic -

it'll help avoid any infection.

Co-amoxiclav IV.

You're going to be our guest for a few nights observation,

make sure you're OK.

LABOURED BREATHING

Joel?

Urticarial rash.

Would you say his lips are swelling?

Yeah, definitely. BP's dropped. Joel?

Anaphylaxis. Let's get him back on the O2,

start with 0.5 ml of 1 in 1000 adrenaline IM.

On it.

This is an allergic reaction,

and Connie admitted him.

Come in.

Connie, I've just been with Joel Ronson.

I had to administer an antibiotic

and he had an allergic reaction to the penicillin.

But on his chart, under allergies,

you've written nil.

Other members of staff present

said they clearly heard his father say he didn't know.

Other members of staff - you mean Jacob? Say it.

And I get it -

daughter's ill, make a mistake,

perfect opportunity to manoeuvre yourself...

Connie, please, this isn't about politics.

It is my daughter with the potential brain damage, not me.

I am trying to look after you.

Joel Ronson, 14, hit the windscreen of a car

travelling approximately 30mph following a 15 foot fall.

KO'd at scene. BP 115/60, resps 24, pulse 100.

GCS of 13 at scene, now 15.

Morphine administered en-route, topped up with IV paracetamol.

Open tib and fib fracture.

You need to take more time...

I am the one who will decide if I am fit to work and I am fighting fit!

The father said no allergies, you should have double-checked.

Connie, stop shouting, she's just trying to help.

Who are you to walk into my office?

Never used to be a problem.

Oh.

Well, it is now.

Get out.

-Connie.

-Out.

You too.

He's never been even remotely violent before.

I gathered.

You're still here.

I want you to let me know what's going to happen to him.

I need to know where to go tonight.

We've requested a psych evaluation.

We should know soon after that.

I'll get something to eat and hang around.

If he asks, though, I've gone home, OK?

Might have enough already to get the happy couple a weekend away.

Ah, Dr Gardner, dig deep -

Robyn and Glen's wedding pressie.

We're aiming for Paris by train, but we'll settle for Brighton by coach.

Have you seen Mr Ronson, Joel's dad?

Relatives' room, I think.

No, I just checked.

Doctor!

Get a trolley, now!

No, no, Rhys, stay with me, stay with me.

I'm sorry.

Must have terrified the life out of you.

It's OK.

It's not.

What's happening to me?

We're going to find that out.

I don't know who I am any more.

Is Danni OK?

A little scared, maybe.

Tell her she's right.

She shouldn't have to deal with me any more.

No, Steve, come on.

You tell her she's the best person I've ever known

and I understand.

Could do with some help here!

We've got an opiate OD.

I need a line in, 400 micrograms of naloxone IV.

Dad?

Dad!

Veins are lousy. I'm going to give it IM.

He's looking pretty cyanosed. We're losing him, people.

He's clean, he promised. He's been clean for ages.

Where did he get the drugs from?

Connie.

He's a different man now, isn't he?

Yeah, I've a theory about that, and, well,

I'm waiting for some results.

I've been thinking all day about Glen and the wedding

and whether it's the right thing to do.

Well, I'm not the best person to ask about affairs of the heart.

Can you just pretend to be human and shut up and listen?

The wedding was...is the happy ending.

But what about tomorrow?

We're married and we have to deal with life insurance

and funeral arrangements.

I'm not sure that anyone gets a happy ending.

Films always end with the wedding, but real life goes on

and sometimes it's a struggle.

That's why we have beacons of light along the way

that offer us hope -

love, laughter...

..babies.

You're having a baby, Robyn.

You know, you're really creepy when you try and joke.

We've still got a pulse.

Let's get ready to intubate if we need to.

Hold on. Let me through.

What's up with him?

Joel.

-Has your dad got all of his teeth?

-Connie.

Joel?

No, he had loads done recently.

Yeah, I thought so.

Suction.

Keep that light there.

I'm going to need the Magill's forceps.

Yeah, I've got it.

Well done.

OK, let's start bagging then get the sats up.

Still not got a vein?

-None suitable.

-Right, go for an IO.

Joel, this is going to look a bit brutal,

but it's the best thing we can do for your dad.

Any second now.

It's OK.

You're not about to be sick, are you?

I can't stop smiling.

Oh, go and tell Glen. I'll get some cover here.

No, I'm going to tell him as part of our wedding vows.

I didn't really know what to say anyway.

Well, I suppose it's good that your unborn child

can help with your wedding speech.

My light on the horizon.

Now I'll always have a part of Glen with me.

He or she can be our happy ending.

Ah, good for you.

Talking of happy endings, I'm pretty certain that the root cause

of Steve's symptoms is physical, not psychological.

Robyn, you shouldn't be running.

It was a close call.

Yes, it was.

How's Joel?

Upset.

For many reasons.

I just wasn't as strong as I thought.

I have three boys, teenagers.

Most of the time, I make it up as I go along.

I think the trick is making them believe

that you're in complete control.

They need that security.

He's a good kid.

He is.

He deserves so much better.

Then give it to him.

He's already witnessed far too much already for a boy of his age.

Give him better, Rhys.

You're not supposed to see the bride before the wedding day.

Well, I saw you this morning, didn't I?

Oh, yeah.

You OK, love?

Yeah. Why, what have you heard?

Nothing. It's just that you seemed a bit pale earlier.

Ah, it's just stress.

A bride is allowed to be stressed on her wedding day, isn't she?

Yeah, but it's supposed to be a good thing,

not something that makes you ill.

Well, can you hold that thought? I've got a patient to deal with.

Yeah, sure.

-I love you.

-I love you too.

It's...

..a funny story.

Hilarious.

I was angry.

All those times I was rattling and desperate and...

You know,

you think that you've kicked something and...

..then temptation comes your way...

..and that's that.

Back to square one again.

Don't I help?

Oh, you do, you do, you help.

You...

You have kept me alive more times than you'll ever know.

All right?

You're my life-saver, son.

So...

I'm going to get the help that I need.

Does rehab give out saver points?

Yeah.

I should be able to get a toaster or something.

I've put us back a bit, though.

I know.

It'll be worth it, though.

I love you, son.

Ah, Danni, there you are. I'm glad you didn't go.

I'd like to, I really should. I just want to know he's safe.

Do you believe in happy endings?

Are those ulcers permanent or intermittent?

Pretty much permanent.

And the scars on your arm?

Had them ages.

Right. I thought so.

Hello. So, these are your partner's symptoms -

butterfly rash to the face,

scars on the arms, white blood cell count,

platelet count both low, the mouth ulcers.

Now, if any four or more of the 11 symptoms listed are present,

then SLE is a viable diagnosis.

SLE stands for systemic lupus erythematosus.

What it means is that his immune system is attacking itself,

and it can lead to psychotic episodes.

He's...

It's actually a condition?

A very rare one, but, yes, a condition nonetheless.

Is there a cure?

No.

With the right treatment, we should be able to manage the psychosis.

It may take a while to see results, but, well, there are no guarantees.

Never thought I'd be happy to hear I have a disease.

Yeah, I'm sorry for smiling, but it's nice to know.

It's nice to know we can get you back.

Is there somewhere you need to be?

And you've been under a lot of pressure.

Don't patronise me.

OK.

You were so determined to keep a parent and child together

that your judgment was affected.

Mr Ronson's medical file -

confirmed drug addict, been in here a number of times.

He wasn't the patient, his son was.

How did he get the drugs, Connie?

How did he get the drugs the paramedics gave to you?

You're like a little terrier, aren't you?

Get your teeth in there, you don't stop.

Your daughter's ill. I'm a mother too.

I'm a doctor. First and foremost, when I'm here, I'm a doctor.

I am trying to look after you.

No. You're trying to get your name on the door.

I do not want your job!

I am trying to ensure the safety of the patients

and the wellbeing of our staff, Connie.

-What are you doing?

-Connie.

I don't want to but I will make this official by the end of shift,

so I am telling you as your friend.

Go back to Grace.

Ready?

I think so.

There's something I need to do.

Can you ask one of the nurses for some writing paper?

Oh, your vows?

Better write quickly - don't want to keep the bride waiting.

Grace, darling.

Mummy's here.

You look amazing.

Well, I had to be here.

Too much?

No!

OK, Robyn's on her way now.

-Now?

-Yeah, she's on her way.

Welcome.

Don't be nervous.

-Where is he?

-David's gone to get him.

Don't worry.

They probably just got lost.

Well, he should be here to meet me.

He's fine, Robyn.

What if something's happ...?

I'm very sorry.

No.

No.

No. No.

Ssh...