Episode 21

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0:00:02 > 0:00:05- What's up?- The long and short of it is I trafficked a Sudanese boy.

0:00:05 > 0:00:06What?!

0:00:06 > 0:00:09Can we let this voicemail serve as my official resignation from

0:00:09 > 0:00:14the post of acting clinical lead of the ED with immediate effect?

0:00:16 > 0:00:20I'm sanitising my hands and then I'm checking the airway.

0:00:20 > 0:00:22I don't care that you forgot my exam.

0:00:22 > 0:00:24I do care about you getting better.

0:00:35 > 0:00:38- TV:- All they have to do is survive the crossing.

0:00:38 > 0:00:41The lucky few have life jackets. The rest cling to the side of

0:00:41 > 0:00:44- their boat, with only hope as a safeguard.- Let's get some tunes on!

0:00:44 > 0:00:46On, on, on!

0:00:46 > 0:00:47CHEERING

0:00:47 > 0:00:49What about that?

0:00:58 > 0:01:01ARGUMENT DOWNSTAIRS

0:01:01 > 0:01:03Get out of my way!

0:01:05 > 0:01:08Hey, come on, Raj, let him sleep.

0:01:08 > 0:01:09Come here.

0:01:09 > 0:01:11What about the weekend? You want to go to Auntie Gillian's?

0:01:11 > 0:01:14- He's not worth it. Come... - He can speak for himself!

0:01:14 > 0:01:17My place not good enough for you? Is that it?

0:01:17 > 0:01:20- It-It's just... - What?! Speak up!

0:01:29 > 0:01:31Why do you always have to get him so angry?

0:01:31 > 0:01:34Nina! Get down here!

0:01:39 > 0:01:42ARGUMENT CONTINUES

0:01:42 > 0:01:44It looks worse than it is,

0:01:44 > 0:01:46but I just need to check there's no glass in there.

0:01:46 > 0:01:48Dylan, come on, please, give me a break.

0:01:50 > 0:01:53- You OK, Louise? - Dylan, talk to me.

0:01:53 > 0:01:56Tell me what happened. Stand up for me, Dylan, please.

0:01:56 > 0:01:58DYLAN CRIES OUT

0:02:00 > 0:02:02LOUD HIP-HOP MUSIC ECHOES

0:02:47 > 0:02:49HE PANTS

0:02:54 > 0:02:56SIREN APPROACHES

0:03:04 > 0:03:06You lost or just admiring the view?

0:03:06 > 0:03:08- Sorry, straight into Resus. - Charlie, I was hoping

0:03:08 > 0:03:12I could get everyone together. I've got a bit of an announcement.

0:03:12 > 0:03:15- Sorry.- I'll take those, thank you very much.

0:03:16 > 0:03:19Sorry, could I just grab everyone's attention?

0:03:19 > 0:03:24Louise, can we transfer Mrs Fox up to OPU?

0:03:24 > 0:03:26They've got a bed free now, OK?

0:03:27 > 0:03:29- Everything all right? - Yeah, just the concomitant

0:03:29 > 0:03:34amount of stress commensurate with my status and responsibilities.

0:03:34 > 0:03:36Yes. Er, Louise?

0:03:36 > 0:03:38Ethan, we're full to burst,

0:03:38 > 0:03:41and one of the patients said 999 put her on hold last night.

0:03:41 > 0:03:45This about you getting the consultant job? Congratulations.

0:03:45 > 0:03:47Pat on the back, and all that. Well deserved.

0:03:49 > 0:03:51- Can I get back to work now, please? - Yes.

0:03:52 > 0:03:55- I'll be there, Dr Hardy. Just let me know when.- Thank you. Thanks.

0:03:59 > 0:04:02All right, little fella? What's been happening to you, then?

0:04:02 > 0:04:04She says she found him like this running down the road.

0:04:04 > 0:04:07It's lucky she didn't knock him over.

0:04:07 > 0:04:09I'll get you a blanket, OK?

0:04:09 > 0:04:11Thanks.

0:04:11 > 0:04:12Let's have a little look at you.

0:04:12 > 0:04:14Can you tell me where it hurts?

0:04:17 > 0:04:19I'm here to help you, OK?

0:04:20 > 0:04:22Can I have a look?

0:04:24 > 0:04:27Good lad. Just nice and slowly.

0:04:28 > 0:04:30There you go.

0:04:34 > 0:04:36My mum.

0:04:36 > 0:04:37She's hurt.

0:04:46 > 0:04:48Dylan?

0:04:50 > 0:04:53If you're not feeling right, maybe you should go home.

0:04:54 > 0:04:58It's nothing. A few painkillers will sort it out.

0:04:58 > 0:05:02You don't remember last night, do you? You ended up on the ARC.

0:05:07 > 0:05:09Well, I can't be the only person

0:05:09 > 0:05:11who's not allowed to let off steam every now and then.

0:05:12 > 0:05:17Is everything all right? I've never even seen you drink before.

0:05:18 > 0:05:20Are you even safe to be working?

0:05:20 > 0:05:22Oh, come on, Louise.

0:05:22 > 0:05:24Dylan, I'm just trying to help.

0:05:24 > 0:05:26Yeah? Well, can I direct you towards

0:05:26 > 0:05:30the Valley of Lost Souls in reception?

0:05:30 > 0:05:32Hello, can you hear me?

0:05:35 > 0:05:37Hello, love, it's the paramedics.

0:05:37 > 0:05:39Police!

0:05:40 > 0:05:41They say the family's known to them.

0:05:41 > 0:05:44They've put a call out to pick up the dad.

0:05:46 > 0:05:50Hello, love. Can you hear me? Do you want to tell me what happened?

0:05:50 > 0:05:52SHE MUMBLES INCOHERENTLY

0:05:52 > 0:05:54Right, I'm going to pop some oxygen on you.

0:05:54 > 0:05:57Just breathe nice and normally for me, OK?

0:06:01 > 0:06:03What the hell happened here?

0:06:03 > 0:06:05Husband's a right piece of work, apparently.

0:06:05 > 0:06:08Local drug dealer who likes to use his fists.

0:06:09 > 0:06:11- Mum!- Can someone get him out of here?

0:06:11 > 0:06:13We're just trying to help your mum.

0:06:13 > 0:06:16Make her say something! I want to stay with my mum.

0:06:16 > 0:06:18We need to get her in ASAP.

0:06:28 > 0:06:30SIRENS WAIL

0:06:50 > 0:06:51OK. Er...

0:06:52 > 0:06:55..I think that's everyone.

0:06:55 > 0:06:58- Come on, folks, quieten down. - Thank you.

0:06:58 > 0:07:01Ethan, we don't want to steal your thunder, mate,

0:07:01 > 0:07:04but...we all know you got the job.

0:07:05 > 0:07:07Actually, I've got another bit of news.

0:07:07 > 0:07:10As of today, I am clinical lead of the department.

0:07:11 > 0:07:14Just until Mrs Beauchamp returns.

0:07:14 > 0:07:15Big shoes to fill.

0:07:15 > 0:07:19Indeed, but not the first time I've been in her heels!

0:07:19 > 0:07:22Wasn't that for, like, a day, and didn't all hell break loose?

0:07:22 > 0:07:24Does she know that you're taking over?

0:07:24 > 0:07:26- You know what? I'm not sure. - Was there anything else?

0:07:26 > 0:07:31We haven't had any Tweets from God confirming you as the new Messiah.

0:07:31 > 0:07:34He's not the Messiah, he's a very naughty boy!

0:07:34 > 0:07:36HE LAUGHS NERVOUSLY

0:07:40 > 0:07:43Er, that's all. I better get to it.

0:07:43 > 0:07:46I've already got management breathing down my neck, so...

0:07:46 > 0:07:48- Can you hear that?- What's that?

0:07:48 > 0:07:51That is the sound of a man drowning in deep water.

0:07:59 > 0:08:00Lovely.

0:08:00 > 0:08:02THEY CHUCKLE

0:08:07 > 0:08:08For you.

0:08:08 > 0:08:10Me?

0:08:10 > 0:08:11A little something to say thank you.

0:08:11 > 0:08:13We'd have been lost without your advice.

0:08:13 > 0:08:17Oh, don't be silly. Oh, my goodness, that's beautiful.

0:08:17 > 0:08:19He thought of vino,

0:08:19 > 0:08:23but you could clean the drains with the stuff he buys.

0:08:23 > 0:08:25Don't encourage her, Connie!

0:08:25 > 0:08:27She doesn't need any encouragement!

0:08:27 > 0:08:30Dr Hardy! It's not often we see you in these foreign climes.

0:08:30 > 0:08:33No. I was hoping to speak to Mrs Beauchamp,

0:08:33 > 0:08:36but I'm needed downstairs.

0:08:36 > 0:08:40She's bearing up. I can ask her to give you a call if...

0:08:40 > 0:08:42Oh, no, no. No, thank you. It's fine.

0:08:48 > 0:08:51About time. I've been here all morning.

0:08:51 > 0:08:54- What's the latest, Doc? - How are you feeling, Mrs Coomes?

0:08:54 > 0:08:56Looking forward to getting out of here.

0:08:56 > 0:09:00It may take a few days to get over the soreness, but...

0:09:01 > 0:09:05I think we know each other well enough now.

0:09:05 > 0:09:09So let's bypass the small talk, shall we?

0:09:18 > 0:09:21Robyn, this is Niloy. Can you get him some clean clothes, please?

0:09:21 > 0:09:22Yeah, sure.

0:09:22 > 0:09:25- Do you want to come with me, sweetheart?- I want to stay with her!

0:09:25 > 0:09:26Straight through to Resus, yeah?

0:09:26 > 0:09:29- Dr Keogh, could you do the honours, please?- Yeah.

0:09:30 > 0:09:33- Give a man a little power...- I heard that.- You were meant to hear it.

0:09:33 > 0:09:37- Robyn, could you look after the boy? - OK.

0:09:37 > 0:09:39All right, darling. Come here, this way.

0:09:45 > 0:09:47This is Nina Rai. She's 28 years old.

0:09:47 > 0:09:50Approximately an hour ago, she sustained a penetrating stab...

0:09:50 > 0:09:53I'm going to let you into a little secret.

0:09:53 > 0:09:59Dr Keogh? One of the best doctors around, OK? Come on.

0:10:01 > 0:10:04But you said this special chemotherapy thing was working.

0:10:04 > 0:10:05It was, initially.

0:10:05 > 0:10:08But these recent scans confirm that the tumours have

0:10:08 > 0:10:10spread into the lymph nodes. I'm sorry.

0:10:12 > 0:10:15But she could start on immunotherapy?

0:10:15 > 0:10:17Immunotherapy's very costly,

0:10:17 > 0:10:19and you've already spent a considerable amount on the chemo.

0:10:19 > 0:10:24Don't worry about the money! We remortgaged the house for this.

0:10:24 > 0:10:26If there's something out there that can nuke this damn cancer,

0:10:26 > 0:10:27we'll pay!

0:10:27 > 0:10:29Given your prognosis...

0:10:29 > 0:10:33..the chances of success with immunotherapy are very slim.

0:10:34 > 0:10:38You have to ask yourself, will it improve the quality of your life?

0:10:38 > 0:10:41I think that's up to Maggie to decide, don't you?

0:10:41 > 0:10:44If you want to pursue this avenue with another consultant,

0:10:44 > 0:10:46- that's your decision. - Well, you can't abandon us!

0:10:47 > 0:10:51I can't participate in a course of action that I don't agree with

0:10:51 > 0:10:53and bankrupt you in the process.

0:10:53 > 0:10:55So it IS about the money!

0:10:55 > 0:10:58If I were Russian or some Saudi, you wouldn't think twice.

0:10:58 > 0:11:00- Ray! Calm down! - That's not what I said.

0:11:00 > 0:11:02Ray, not helping.

0:11:04 > 0:11:07I'm so sorry that this is not better news.

0:11:07 > 0:11:08We can go home now?

0:11:10 > 0:11:13Let's take a look at your bloods from this morning first.

0:11:13 > 0:11:15Thank you, Dr Williams.

0:11:27 > 0:11:30- She's tachycardic. - BP's 78/40.

0:11:30 > 0:11:33OK, let's get two units of O neg, let's do the cross-match

0:11:33 > 0:11:36if we haven't already done that, please, and then two units

0:11:36 > 0:11:39type-specific and four units of the full cross-match.

0:11:39 > 0:11:42- And stand by with some TXA, please. - Abdomen is rigid and distended.

0:11:42 > 0:11:45Let's get the general surgery team down here to discuss, please.

0:11:45 > 0:11:48- BP's still falling.- Let's hurry up with the bloods, please.

0:11:48 > 0:11:51Quick as we can, we don't have any time to waste here.

0:11:54 > 0:11:55Ta-dah!

0:11:55 > 0:11:57- I'll look like an idiot. - No, you won't.

0:11:57 > 0:12:00You'll look really grown-up.

0:12:00 > 0:12:03Come on, then, let's get you out of these.

0:12:04 > 0:12:07There's no need to be embarrassed. We see everything in here.

0:12:10 > 0:12:12When did this happen?

0:12:16 > 0:12:18Do you think they'll get my dad?

0:12:19 > 0:12:21Let's hope so, eh?

0:12:27 > 0:12:29DOG GROWLS

0:12:30 > 0:12:33Stop, or I'll release the dog.

0:12:44 > 0:12:48Good work, everyone. There you go, no flies on us.

0:12:50 > 0:12:51MACHINE BEEPS

0:12:53 > 0:12:56- What's wrong?- There's blood. She's crashing and she's hypotensive.

0:12:56 > 0:12:58OK, it's a massive haemothorax.

0:12:58 > 0:13:04OK, let's intubate, then, please. Can we have 100mg of ketamine, sux?

0:13:04 > 0:13:08Er... Erm... Let's... Let's stand by with some, erm...

0:13:10 > 0:13:14..some propofol and... and let's have a bolus of panc...

0:13:16 > 0:13:19Yes, that's one opinion. That's all.

0:13:22 > 0:13:24When he popped the question, I said to him,

0:13:24 > 0:13:26"What's the point, at our age?"

0:13:26 > 0:13:28He said we'd have at least ten years.

0:13:31 > 0:13:33I'm so tired!

0:13:33 > 0:13:34Come on.

0:13:35 > 0:13:38You can fight this. I know you can.

0:13:38 > 0:13:40BEEPING

0:13:40 > 0:13:42Ohhh! What a pair.

0:13:42 > 0:13:45If we were horses, we'd be glue by now.

0:13:45 > 0:13:46Oh, stop it.

0:13:50 > 0:13:51Ray?

0:13:53 > 0:13:55Ray?

0:13:55 > 0:13:58Ray!

0:13:58 > 0:14:01- All right. OK.- Ray!- Are they his hypertension tablets?

0:14:01 > 0:14:05- Yes.- Yeah. Ray? Ray, can you hear me?

0:14:05 > 0:14:07Right, can I get some help, please?

0:14:13 > 0:14:16No! No!

0:14:16 > 0:14:18No!

0:14:18 > 0:14:22No, no, no, that's much too big, isn't it? Come on.

0:14:22 > 0:14:24Thank you.

0:14:26 > 0:14:27Right.

0:14:29 > 0:14:31- Dr Keogh? - Yeah, I'm fine, thanks.

0:14:31 > 0:14:35Is this the smallest we've got, is it?

0:14:35 > 0:14:39I mean, look at the size of it.

0:14:39 > 0:14:42- HE GROANS - Dylan, let me go get Ethan.

0:14:42 > 0:14:44No, do not go and get Ethan. I'm fine.

0:14:45 > 0:14:46No, no, no, hang on, hang on.

0:14:46 > 0:14:49Yep. Pass me the short one.

0:14:51 > 0:14:53All right, now, that's fine.

0:14:54 > 0:14:56OK... Right.

0:15:06 > 0:15:09Fine. Good. OK. Right, let's get her scanned.

0:15:11 > 0:15:13Let's get her up to theatre.

0:15:14 > 0:15:17I feel awful. Wow.

0:15:21 > 0:15:23It'll be all right, Ray. Hang on.

0:15:24 > 0:15:27Dr Hardy? Ray Coomes, 65.

0:15:28 > 0:15:3115 minutes ago, was unconscious whilst asleep.

0:15:31 > 0:15:36Has a history of hypertension, and he's on amlodipine.

0:15:36 > 0:15:37Resus 2, please.

0:15:37 > 0:15:41- What's going on here? It's chaos. - Yeah. Shouldn't you be upstairs?

0:15:41 > 0:15:45- Who's in charge?- I am, actually. - No, I mean clinical lead.

0:15:45 > 0:15:48Yes, that's me. I'm acting clinical lead.

0:15:48 > 0:15:50Made official this morning.

0:15:50 > 0:15:52They, erm... They finally told you?

0:15:52 > 0:15:55- You knew? - Course I knew.

0:15:55 > 0:15:57It's my job. You weren't the first choice,

0:15:57 > 0:16:00but we were short of candidates.

0:16:11 > 0:16:14- VOICE ECHOES:- This one. Yeah, there you go.

0:16:15 > 0:16:18No, no, no, no, no, no, no, no.

0:16:23 > 0:16:26I've taken that boy, Niloy, to cubicles.

0:16:26 > 0:16:29- Duffy said we should call social services.- Robyn, what the hell is that doing in here?

0:16:29 > 0:16:32That? I was taking it to Angela for her birthday.

0:16:32 > 0:16:35Anybody could just come in here. Can we get rid of it, please?

0:16:35 > 0:16:37All right, keep your hair on.

0:16:37 > 0:16:39Thank you.

0:16:41 > 0:16:44Niloy, the son of the stab victim, I wondered

0:16:44 > 0:16:47- if you could take a look at him. - No, Duffy, I've got to go home.

0:16:47 > 0:16:50Oh! Could you talk to him before you go?

0:16:50 > 0:16:53He's worried sick about his mum and he did ask for you.

0:16:53 > 0:16:54Why does he want to talk to me?

0:16:54 > 0:16:58Look, I don't know what he's been through, but it's not good,

0:16:58 > 0:17:01and a little compassion from us would go a long way.

0:17:10 > 0:17:14OK. Pulse is still regular. It's in sinus rhythm.

0:17:14 > 0:17:18Has anything else been unduly stressful recently?

0:17:18 > 0:17:20You take the rough with the smooth at my age.

0:17:20 > 0:17:23Yes, of course. If you can sit forward for me,

0:17:23 > 0:17:26- I'll have another listen. - This is my fault.

0:17:26 > 0:17:30I knew you were stressed by all of this. I hate it. I hate it.

0:17:30 > 0:17:32Oi, don't go blaming yourself.

0:17:33 > 0:17:37Let's get full bloods, ECG and troponin, then, please.

0:17:37 > 0:17:38Dr Hardy?

0:17:41 > 0:17:42He had no pulse when I got to him.

0:17:42 > 0:17:46It was 30 when we got down here, so I suspect heart block.

0:17:46 > 0:17:49OK, well, it's 70 now and it's in good volume.

0:17:51 > 0:17:53I really think you should be recuperating.

0:17:53 > 0:17:57- OK? I'm sure I can get you regular updates.- Please do.

0:17:58 > 0:18:00Right, Ray, I'm going to leave you in the capable hands of Dr Hardy

0:18:00 > 0:18:02whilst you're in the ED.

0:18:02 > 0:18:07It's true what they say, isn't it, about doctors and policemen?

0:18:07 > 0:18:09Well, if I didn't trust him, I wouldn't let him anywhere near you.

0:18:09 > 0:18:12And you'll help Maggie find an oncologist,

0:18:12 > 0:18:15one who'll do Maggie's immunotherapy?

0:18:15 > 0:18:17We need your help more now than ever.

0:18:17 > 0:18:19Ray! She's recovering from surgery!

0:18:19 > 0:18:23Maggie, that's fine. I'll make some calls, OK?

0:18:26 > 0:18:29OK. That hurts as well, does it? Yep.

0:18:31 > 0:18:33And you don't know how you got these?

0:18:35 > 0:18:37OK.

0:18:38 > 0:18:41When will my mum wake up?

0:18:41 > 0:18:43Well, she's in theatre now.

0:18:43 > 0:18:46And when she does wake up, somebody will take you to see her, OK?

0:18:46 > 0:18:48I just want to have a quick look at your wrist, if you don't mind.

0:18:48 > 0:18:51- Thank you. - Your aunt's coming in?

0:18:51 > 0:18:52Gillian?

0:18:54 > 0:18:55She's going to let me stay at hers if...

0:18:57 > 0:18:59She got me these.

0:18:59 > 0:19:03OK, all right. Send him up for an X-ray. We need to get a closer

0:19:03 > 0:19:05look at that. You don't need to be scared.

0:19:08 > 0:19:09You smell like him.

0:19:11 > 0:19:13Your breath.

0:19:14 > 0:19:15Same smell.

0:19:17 > 0:19:19That's when I know it's going to be bad.

0:19:20 > 0:19:24OK, well, erm, we're going to get you some help,

0:19:24 > 0:19:27so you can trust us, all right?

0:19:27 > 0:19:30And the nurse will be back in just a moment, all right?

0:19:31 > 0:19:34That other nurse said you were the best.

0:19:36 > 0:19:38Is that true?

0:19:40 > 0:19:41Maybe.

0:19:45 > 0:19:46Maybe not.

0:19:56 > 0:20:01Yep. This is all perfectly painless, so try not to worry.

0:20:01 > 0:20:04It's this lady we need to worry about.

0:20:05 > 0:20:08Sounds like Mrs Beauchamp has appreciated your company.

0:20:08 > 0:20:11- Being on a ward can get very lonely. - She's quite a woman!

0:20:11 > 0:20:13We wouldn't have had the first

0:20:13 > 0:20:15clue about any of this private treatment if she hadn't told us.

0:20:15 > 0:20:18You're being treated on the private ward?

0:20:18 > 0:20:22It's a special type of chemotherapy she told us about.

0:20:22 > 0:20:24And now she's going to find somewhere that'll do

0:20:24 > 0:20:26- this immunotherapy.- Right.

0:20:27 > 0:20:31And Dr Williams won't do the treatment?

0:20:31 > 0:20:33Says he doesn't want to bankrupt us.

0:20:33 > 0:20:36He's worried it won't be effective.

0:20:36 > 0:20:40He doesn't want us messing up his success rate.

0:20:40 > 0:20:42But Maggie's a fighter, aren't you?

0:20:43 > 0:20:47Yes, well, I'm sure Dr Williams has your best interests at heart.

0:20:47 > 0:20:50You can't put a price on life, can you?

0:20:51 > 0:20:54Let me guess, I haven't got a heart.

0:20:54 > 0:20:57That's what my ex-wife used to say!

0:20:57 > 0:21:00No, no. It's all very good news, actually.

0:21:06 > 0:21:09Ray's ECG. It can't be normal?

0:21:09 > 0:21:13I mean, it's... it's just impossible.

0:21:13 > 0:21:15His heart rate was below 30.

0:21:15 > 0:21:17Yes.

0:21:17 > 0:21:21He's been snatching sleep on the ward for the past few nights.

0:21:21 > 0:21:23He's worried about his wife. All he needs is a bit of rest.

0:21:23 > 0:21:26- At least it's not fatigue. - I can only go by the evidence.

0:21:26 > 0:21:28Well, what happened to trusting your instincts?

0:21:28 > 0:21:30I'm his doctor! And with respect,

0:21:30 > 0:21:33I'm the one who's done a full clinical assessment.

0:21:33 > 0:21:36I also think you should stop advising Mrs Coomes

0:21:36 > 0:21:38- about her cancer treatment. - Excuse me?

0:21:38 > 0:21:40Immunotherapy is an experimental treatment.

0:21:40 > 0:21:43- That is none of your business. - You're giving them false hope.

0:21:43 > 0:21:45It's only false if it doesn't work.

0:21:45 > 0:21:48You're not the best person to be the judge of that.

0:21:48 > 0:21:51Do you know what? Keep up the pretence. No-one believes it.

0:22:03 > 0:22:06Why have these patients breached?

0:22:06 > 0:22:10Cos we're lazy, bone idle, incompetent and don't care?

0:22:10 > 0:22:14Ethan, I'm feeling a bit peaky. I'm going to head home, OK?

0:22:14 > 0:22:17- You're leaving? - Yeah, I've got a temperature.

0:22:17 > 0:22:20No. No, look, we're massively understaffed, Dylan.

0:22:20 > 0:22:24- I need you here. - You haven't seen Niloy, have you?

0:22:24 > 0:22:26- Yeah, I was...- We were going to take him for an X-ray,

0:22:26 > 0:22:28but he seems to have gone walkabout.

0:22:28 > 0:22:31Maybe he's found out that his dad's being brought in after going ten

0:22:31 > 0:22:33- rounds with a police dog. - Sorry, what's happened?

0:22:33 > 0:22:36I have no idea. He must have provoked him.

0:22:36 > 0:22:38The important thing is that we find Niloy.

0:22:38 > 0:22:41Yeah, his bruising looked very suspicious.

0:22:41 > 0:22:44I'd be surprised if there weren't historical fractures on the X-ray.

0:22:44 > 0:22:46He can't go back into that domestic situation.

0:22:46 > 0:22:49Of course. His caseworker's coming in.

0:22:49 > 0:22:51- I need you to stay, OK?- I can't.

0:22:51 > 0:22:54Dylan, I will happily do a full set of obs

0:22:54 > 0:22:56if you're feeling that unwell. Please.

0:23:09 > 0:23:12We'll let you know as soon as there's room on the ward.

0:23:12 > 0:23:14But in the meantime,

0:23:14 > 0:23:17if there's anything else you need, please just shout.

0:23:21 > 0:23:25Hey, why the sad face? You don't need to worry.

0:23:25 > 0:23:27We're both going to be fine.

0:23:28 > 0:23:31No more treatment, Ray.

0:23:31 > 0:23:32What?

0:23:33 > 0:23:36We need to enjoy the time we have left.

0:23:38 > 0:23:41- We've got savings, haven't we? - Well, of course...

0:23:41 > 0:23:43The world's our oyster.

0:23:43 > 0:23:46- This again!- Please, Ray, just listen to what I'm...

0:23:46 > 0:23:49You've got no right to stop fighting! Selfish talk,

0:23:49 > 0:23:51- that's what it is.- Please, Ray.

0:23:51 > 0:23:54You're giving up on us? Look, I'm the one you're leaving behind.

0:23:54 > 0:23:58I've been prodded, poisoned, irradiated.

0:23:58 > 0:24:01You have no idea of what it's like.

0:24:01 > 0:24:03I've been by your side the whole time.

0:24:03 > 0:24:07- It's not the same. - Look, if you love me, trust me.

0:24:07 > 0:24:09It's the right thing.

0:24:41 > 0:24:43I think that's what my dad drinks.

0:24:45 > 0:24:48We've been looking everywhere for you.

0:24:48 > 0:24:50My dad... He's coming here, isn't he?

0:24:51 > 0:24:53You don't have to worry about that. That's fine.

0:24:53 > 0:24:55You don't have to see him. You trust me.

0:24:55 > 0:24:57We still haven't found him.

0:24:57 > 0:25:00He's here. Panic over.

0:25:00 > 0:25:02Oh! Come on.

0:25:04 > 0:25:06We've all been worried about you.

0:25:08 > 0:25:09Come on.

0:25:23 > 0:25:25Maggie? I've been...

0:25:25 > 0:25:28Is everything all right?

0:25:28 > 0:25:31- I-I need to talk to Ray. - There's some good news.

0:25:31 > 0:25:34My oncologist friend in London will see you.

0:25:34 > 0:25:36He has a great record in immunology.

0:25:36 > 0:25:39- So that's good news.- Is it?

0:25:39 > 0:25:44I've learned to live with cancer. Now I'm being made to feel bad

0:25:44 > 0:25:46for not trying hard enough!

0:25:47 > 0:25:50- Oh, goodness, Maggie. You know that's not true!- Ray!

0:25:50 > 0:25:52- Connie?- Ray? Ray?

0:25:54 > 0:25:56Let's get the bed down.

0:25:59 > 0:26:01Ethan, I know it's none of my business,

0:26:01 > 0:26:04but we really can cope without Dr Keogh.

0:26:04 > 0:26:06- No. We can't. - Come on, Ethan, open your eyes.

0:26:06 > 0:26:09Dylan came in this morning stinking of booze.

0:26:10 > 0:26:13OK, so he's hungover. He wouldn't be the first.

0:26:13 > 0:26:17He was so out of it last night he ended up on the ARC.

0:26:18 > 0:26:22Yeah, and I don't think it's a one-off, either.

0:26:22 > 0:26:26- That's a very serious accusation. - You think I don't know that?

0:26:26 > 0:26:28No, I...

0:26:28 > 0:26:30OK, I'll talk to him.

0:26:30 > 0:26:33- We need Resus.- What's happened?

0:26:33 > 0:26:35Abnormal rhythm. He needs a repeat ECG.

0:26:35 > 0:26:39- It's not fatigue.- OK, well, I've got this.- No, you haven't.

0:26:40 > 0:26:43Louise? Can I have the benefit of your expertise? Please?

0:26:49 > 0:26:52Right, this is Rajat Rai. He's 38 years old.

0:26:52 > 0:26:55Approximately 60 minutes ago, he was bitten by a police dog whilst

0:26:55 > 0:26:57trying to flee the scene.

0:26:57 > 0:27:01He sustained jagged lacerations to the lower aspect of his neck,

0:27:01 > 0:27:03avoiding the external jugular and trachea.

0:27:03 > 0:27:06OK, he's cannulated, he's had a gram of IV paracetamol

0:27:06 > 0:27:09and five of morphine. He's all yours.

0:27:09 > 0:27:13You can't prove nothing! Oi! You hear me?

0:27:13 > 0:27:16Good news for your airway, if nothing else.

0:27:16 > 0:27:17Right.

0:27:19 > 0:27:21There.

0:27:21 > 0:27:24Here, here.

0:27:24 > 0:27:27Complete heart block.

0:27:27 > 0:27:30There was nothing on the first ECG, not even first-degree A-V block.

0:27:30 > 0:27:32I guess that's what you get with experience.

0:27:32 > 0:27:36Right, Ray, we're going to insert a temporary pacing wire until

0:27:36 > 0:27:39we can put a permanent one in.

0:27:39 > 0:27:42- Is that dangerous?- No, it's not.

0:27:42 > 0:27:44We'll put some anaesthetic under your collarbone,

0:27:44 > 0:27:46OK? And then we puncture a vein

0:27:46 > 0:27:49and we pass a pacing lead into the right-hand side of your heart.

0:27:49 > 0:27:52You'll be conscious throughout. You're in very safe hands.

0:27:52 > 0:27:55Say that enough, you might even believe it yourself, Doc.

0:27:55 > 0:27:58Don't worry, I'll be with you, I promise.

0:28:01 > 0:28:05OK, I'm going to get that arranged straight away.

0:28:11 > 0:28:13What's wrong?

0:28:13 > 0:28:16I know why you've been so stressed, Ray.

0:28:17 > 0:28:19I know how you paid for my chemo.

0:28:20 > 0:28:22- You used the savings.- Wait a minute.

0:28:22 > 0:28:26You said we'd remortgaged the house.

0:28:26 > 0:28:28I signed the papers.

0:28:28 > 0:28:31They took one look at us and they turned us down.

0:28:31 > 0:28:35Look, you were ill. I... I didn't want to worry you.

0:28:35 > 0:28:36No!

0:28:37 > 0:28:42No, you knew I'd say no. That was my last chance.

0:28:44 > 0:28:46What about all those plans we made,

0:28:46 > 0:28:49all those things we wanted to see?

0:28:49 > 0:28:51Across America in a Winnebago, like we said.

0:28:51 > 0:28:55Ah, that was just talk! We were never going to DO it.

0:28:56 > 0:29:00We're not that kind of people. We struggle to walk to the shops.

0:29:01 > 0:29:04I'm trying to keep YOU alive, not some pipe dream.

0:29:04 > 0:29:06Grow up!

0:29:13 > 0:29:15I'm not getting better, Ray.

0:29:17 > 0:29:21This is it! It may have been a dream...

0:29:21 > 0:29:25- ..but, as it turns out, it's all I had left.- Don't say that. Maggie!

0:29:30 > 0:29:32Right, stand by for the main event.

0:29:32 > 0:29:34Whoa. We've got a spurter there. All right.

0:29:34 > 0:29:38Right, we need to, erm... Right, let's get a clamp.

0:29:38 > 0:29:41- No, let's wait for theatre. - Oh, no, that's not very much fun.

0:29:41 > 0:29:45- Let's do it down here.- No! Dr Keogh, you will not touch this patient.

0:29:45 > 0:29:48I need another doctor here now. And get Dr Hardy for me, please.

0:29:48 > 0:29:50Louise, Louise, get out of the way. Out of the way.

0:29:50 > 0:29:52You're going to kill the patient.

0:29:54 > 0:29:56Just hand me a clamp.

0:29:58 > 0:29:59Thank you.

0:30:02 > 0:30:04- What's the problem? - I'd step back if I were you.

0:30:04 > 0:30:06I think this one's about to blow.

0:30:06 > 0:30:09- He's tying off the jugular vein. - OK, Dr Keogh...

0:30:09 > 0:30:11Yes, what do you want to do - slap my wrists?

0:30:11 > 0:30:14I think you can do that, you are clinical lead.

0:30:14 > 0:30:15Why are we not waiting for theatre?

0:30:15 > 0:30:18Because I didn't want to! Yeah? Is that good enough for you?

0:30:18 > 0:30:19It certainly should be!

0:30:19 > 0:30:21Can we stand by with some suction, please,

0:30:21 > 0:30:25and another set of clamps - the next smallest, please?

0:30:30 > 0:30:33OK, hang on, hang on, hang on. All right.

0:30:33 > 0:30:35When I say, please.

0:30:35 > 0:30:38There we go, there we go, there we go, there we go. All right.

0:30:38 > 0:30:42Relax now. See? See what I did?

0:30:42 > 0:30:45Yeah? You should be watching and learning,

0:30:45 > 0:30:47not telling me what's what all the time.

0:30:51 > 0:30:54Can you let the nurses do that, please?

0:30:54 > 0:30:55Yeah.

0:30:58 > 0:31:01- I need to speak to you in my office.- OK.

0:31:03 > 0:31:05Can we get a message to Dr Gardner

0:31:05 > 0:31:08to relieve Dr Keogh of his patients, please?

0:31:09 > 0:31:12They're just about to start Ray's procedure.

0:31:12 > 0:31:14I thought you'd be interested.

0:31:14 > 0:31:19That's a little silly, under the circumstances, don't you think?

0:31:22 > 0:31:24Yep.

0:31:26 > 0:31:28It'll kill me.

0:31:28 > 0:31:31It certainly won't help.

0:31:31 > 0:31:34I'm discharging myself. No more treatment.

0:31:34 > 0:31:37Oh, come on, you're a fighter, like me.

0:31:37 > 0:31:43Maybe you're just a better, stronger, braver person than I am.

0:31:43 > 0:31:49Just look at you, leading the march while recovering from heart surgery.

0:31:49 > 0:31:53Face it, Connie, you're superhuman.

0:31:55 > 0:31:56You're being ridiculous.

0:31:56 > 0:31:58Maybe I am.

0:32:00 > 0:32:02But I know that we were doing all right before

0:32:02 > 0:32:04you filled his head up with these ideas.

0:32:04 > 0:32:09- I'm trying to help you both. - You're not! You're not.

0:32:11 > 0:32:15You just want to do things the Connie way.

0:32:15 > 0:32:16You want to be the doctor

0:32:16 > 0:32:20while everyone is stunned into silence by your brilliance.

0:32:20 > 0:32:24Well done. Ray's fallen for it.

0:32:27 > 0:32:30So much so that he's driven us into debt paying for it.

0:32:31 > 0:32:33Maggie, I'm so sorry.

0:32:34 > 0:32:36I...

0:32:37 > 0:32:39I-I didn't realise.

0:32:39 > 0:32:41MAGGIE SCOFFS

0:32:43 > 0:32:44Maggie, do you...?

0:32:46 > 0:32:47We're, er, we're ready.

0:32:49 > 0:32:51No sign of Maggie?

0:32:53 > 0:32:56Right, this is so that we can regulate your heart

0:32:56 > 0:33:00until we can get you to theatre. OK? It can feel a bit uncomfortable.

0:33:05 > 0:33:08- Hurry up, please! - Just give me a second.

0:33:14 > 0:33:17OK.

0:33:17 > 0:33:18Er, screen, please.

0:33:25 > 0:33:27You OK? You're not in any pain?

0:33:29 > 0:33:32It's got nothing to do with you.

0:33:33 > 0:33:35It's all me.

0:33:35 > 0:33:36It's all me...

0:33:39 > 0:33:42- I was asked to come into Resus. - By who?

0:33:42 > 0:33:45Because it was reported...

0:33:45 > 0:33:47There were some question marks over your procedure.

0:33:47 > 0:33:49What do you mean by that?

0:33:49 > 0:33:52Sorry, are you questioning my clinical competence?

0:33:52 > 0:33:56My performance today in Resus has been impeccable.

0:33:56 > 0:33:59There's been an accusation that you are under the influence of alcohol.

0:33:59 > 0:34:01By who?

0:34:01 > 0:34:04- Have you had a drink today? - I don't have to answer that.

0:34:05 > 0:34:08OK, were you under the influence of alcohol

0:34:08 > 0:34:11- when you came into work this morning?- Don't do this, Ethan.

0:34:11 > 0:34:14If you... If you do this, I will unleash hell.

0:34:14 > 0:34:16What choice do I have?

0:34:16 > 0:34:20You know, when one consultant does this to another, careers ends.

0:34:20 > 0:34:21And my career is not going to end.

0:34:21 > 0:34:25OK? So if you continue to make this allegation...

0:34:25 > 0:34:27- PHONE RINGS - ..I will sue you,

0:34:27 > 0:34:29I will sue this hospital, I will sue the department,

0:34:29 > 0:34:31I will sue whoever it is...

0:34:31 > 0:34:32Yeah, go on. Go on, go on.

0:34:34 > 0:34:36Clinical lead's office.

0:34:42 > 0:34:44Right.

0:34:45 > 0:34:48HE SINGS ALONG TO MUSIC THROUGH HEADPHONES

0:35:06 > 0:35:08- How are you doing?- Good.

0:35:08 > 0:35:11- Would you like to come with me? - Where are we going?

0:35:11 > 0:35:14Oh, somewhere a little bit quieter. I can get you a drink, if you like.

0:35:14 > 0:35:17I like Coke. But my mum doesn't let me have Coke.

0:35:18 > 0:35:22OK, well, maybe we'll get you something else, then, yeah?

0:35:25 > 0:35:27Just this way.

0:35:33 > 0:35:37She was fine when she went upstairs.

0:35:37 > 0:35:38They're sending down the notes.

0:35:38 > 0:35:41OK, when they get here, I want to review them.

0:35:41 > 0:35:43Yes, so do I.

0:35:49 > 0:35:55- Yo! I need to talk to my boy. - It's OK. Hold on.

0:35:55 > 0:35:57You. Get in here now!

0:35:57 > 0:36:01- Dr Keogh?- Yeah? - I've got Nina Rai's notes here.

0:36:01 > 0:36:03- Oh! Right. Good. - Dr Keogh?

0:36:03 > 0:36:05Yeah.

0:36:05 > 0:36:06It's fine. No, it's fine.

0:36:06 > 0:36:10There's nothing to be scared of. You go with Duffy.

0:36:10 > 0:36:11It's all right.

0:36:11 > 0:36:12Thank you.

0:36:21 > 0:36:24Niloy, I have to tell you something that's very sad

0:36:24 > 0:36:28and it will probably make you feel very sad.

0:36:28 > 0:36:30Your mum died.

0:36:31 > 0:36:33VOICE FADES OUT

0:36:45 > 0:36:47RAJAT SHOUTING IN BACKGROUND

0:36:49 > 0:36:53I, er... I just wanted to make sure you were OK.

0:36:54 > 0:36:59They say you'll be out soon.

0:36:59 > 0:37:02And I'll be climbing Everest by next Friday...!

0:37:02 > 0:37:05They like to make big promises, these doctors.

0:37:06 > 0:37:08Maggie, I'm sorry. I...

0:37:08 > 0:37:10No.

0:37:10 > 0:37:14- Me first.- No. I understand.

0:37:14 > 0:37:18I get it. Just being in here for one day, and I get it.

0:37:21 > 0:37:25I don't know if I'm brave enough to watch you...

0:37:25 > 0:37:26Die, Ray.

0:37:28 > 0:37:30I'm dying.

0:37:30 > 0:37:32You can say it.

0:37:34 > 0:37:37And I know, I am selfish.

0:37:37 > 0:37:40And maybe I am clinging to a selfish dream.

0:37:40 > 0:37:45But if I can't dream now, with months left,

0:37:45 > 0:37:47then when can I?

0:37:49 > 0:37:52I'll get us some money back so we can do something.

0:37:52 > 0:37:54Whatever you want.

0:37:54 > 0:37:56Don't worry. If that's what you want...

0:37:56 > 0:37:59No, it's not the money.

0:37:59 > 0:38:02There's just so much

0:38:02 > 0:38:04I want to do.

0:38:06 > 0:38:09- I'm scared, Maggie. That's all. - Oh, Ray.

0:38:15 > 0:38:17Then...

0:38:18 > 0:38:21Then let's be scared together.

0:38:23 > 0:38:24Yes?

0:38:38 > 0:38:42- Dylan! - Yeah, it's OK, they let me in.

0:38:42 > 0:38:47- Dr Hardy's looking for you.- Is he? OK, I'll be down in five minutes.

0:38:49 > 0:38:52She has an abnormal heart valve.

0:38:53 > 0:38:56We couldn't possibly have known that. That's not my fault.

0:38:56 > 0:38:57You were lucky.

0:38:57 > 0:38:59This time.

0:38:59 > 0:39:01What's happened to you?

0:39:03 > 0:39:04I tell you what.

0:39:09 > 0:39:12Here.

0:39:12 > 0:39:15Here, you take some of my blood.

0:39:15 > 0:39:18- What? - That's what he wants, isn't it?

0:39:18 > 0:39:20Give him the proof that he needs. Go on, it's fine,

0:39:20 > 0:39:22you don't need gloves. There you go.

0:39:25 > 0:39:28I started to remember what happened last night.

0:39:28 > 0:39:31Wouldn't have thought the landlord would have been

0:39:31 > 0:39:35so proprietorial about this TV remote.

0:39:35 > 0:39:37Dylan, I have tried to help.

0:39:39 > 0:39:42Yeah, I know. It's not your job, is it? I'm a grown adult.

0:39:42 > 0:39:45I can take responsibility for myself.

0:39:50 > 0:39:53Yeah, that's enough, that's enough, that's enough.

0:39:58 > 0:40:00Where's the boy? Where's Niloy?

0:40:00 > 0:40:04Downstairs, waiting for someone to pick him up.

0:40:04 > 0:40:07What is it?

0:40:07 > 0:40:08OK, give that to me.

0:40:08 > 0:40:10It's fine, I'll give it to Ethan.

0:40:13 > 0:40:15That's fine.

0:40:23 > 0:40:25Ray?

0:40:26 > 0:40:28I heard the procedure went well.

0:40:28 > 0:40:31Dr Hardy was on the money.

0:40:31 > 0:40:33I was wondering if you'd allow me

0:40:33 > 0:40:36to buy the origami figures that I like so much.

0:40:36 > 0:40:38Oh, please, have them.

0:40:38 > 0:40:40No, I insist. They're too good.

0:40:41 > 0:40:44Well, whatever you think they're worth. Pay me for my time.

0:40:52 > 0:40:55We-We can't take this.

0:40:55 > 0:40:58Yes, you can. I've nothing else to spend it on, so...

0:41:01 > 0:41:03That's what friends are for.

0:41:03 > 0:41:05All right, take care.

0:41:10 > 0:41:11Thank you.

0:41:13 > 0:41:15You've been such a good friend.

0:41:17 > 0:41:19You have.

0:41:25 > 0:41:27Bye.

0:41:34 > 0:41:36Thanks.

0:41:38 > 0:41:40Take the headphones off for me.

0:41:43 > 0:41:48Your dad's out of theatre. He's going to be OK.

0:41:48 > 0:41:49Thanks.

0:41:51 > 0:41:53You know he's in a lot of trouble.

0:41:53 > 0:41:56I think he's going to go to prison for a long time.

0:41:56 > 0:41:58Because of what he did to Mum?

0:41:58 > 0:41:59Move! Move!

0:41:59 > 0:42:03You're spending the weekend with me, not that cow, all right?

0:42:03 > 0:42:05- Look, please, Niloy, come on, you've got to...- No!

0:42:05 > 0:42:07Nils!

0:42:07 > 0:42:10He's pathetic, that boy. Just like you are.

0:42:10 > 0:42:13- Look at you!- Stop, please!

0:42:13 > 0:42:16- DR KEOGH:- Because of what she said he did, what you both said he did.

0:42:19 > 0:42:21But the thing is, I had a look at her wound,

0:42:21 > 0:42:24and something about the height of it,

0:42:24 > 0:42:28the angle of it, raised a few questions in my mind.

0:42:28 > 0:42:31Please, Raj, please, just stop it. Please, no.

0:42:31 > 0:42:34Get off me! Get away from me.

0:42:34 > 0:42:36DOOR CLOSES

0:42:39 > 0:42:41- NILOY:- He takes it out on her.

0:42:42 > 0:42:45She takes it out on me. That's how it works.

0:42:49 > 0:42:51That's how it's always worked.

0:42:57 > 0:42:59SHE GASPS

0:43:06 > 0:43:09She said their lives were perfect before I turned up.

0:43:09 > 0:43:11ON PHONE: There's a five-minute wait at the moment.

0:43:11 > 0:43:16Are you OK to hold? Are you OK to hold?

0:43:16 > 0:43:20In my experience, if you don't face up to these things,

0:43:20 > 0:43:21they often get worse.

0:43:26 > 0:43:28Are you OK to hold?

0:43:28 > 0:43:30Are you OK to hold?

0:43:32 > 0:43:35- NINA:- I can't hold.

0:43:38 > 0:43:41Nothing gets worse than them.

0:43:48 > 0:43:50MUSIC PLAYS THROUGH HEADPHONES

0:44:13 > 0:44:15Ray's doing really well.

0:44:15 > 0:44:18They're going to fit a permanent pacemaker tomorrow.

0:44:18 > 0:44:21OK, thanks for letting me know.

0:44:21 > 0:44:25HE SIGHS This day has been...a total blur.

0:44:25 > 0:44:27And it's not even over yet.

0:44:29 > 0:44:32I'm sorry about the confusion over the heart block.

0:44:32 > 0:44:34You look exhausted.

0:44:35 > 0:44:37It gets easier, don't worry.

0:44:39 > 0:44:40Hope so.

0:44:41 > 0:44:42I'm sorry, too.

0:44:44 > 0:44:47- You don't need to... - I have an apology on offer.

0:44:47 > 0:44:51Please, it doesn't happen often, so take it while it stands.

0:44:53 > 0:44:57I hope that we can put what happened in London behind us.

0:44:59 > 0:45:00I was in a bad place.

0:45:00 > 0:45:03I-I think I could have handled it better.

0:45:06 > 0:45:10Complicated situations are not really my forte...

0:45:12 > 0:45:14..as I'm being made painfully aware today.

0:45:14 > 0:45:18I always found that the most difficult thing

0:45:18 > 0:45:20wasn't making the decisions.

0:45:20 > 0:45:21It was knowing that others would

0:45:21 > 0:45:24live with the consequence of those decisions,

0:45:24 > 0:45:27and once you get your head round that, you'll be fine.

0:46:11 > 0:46:12It's a sample of my blood.

0:46:12 > 0:46:17It was taken by Louise no more than 20 minutes ago. Not under duress.

0:46:21 > 0:46:24I've let you down today. I've let everybody down.

0:46:24 > 0:46:26I think when you look at the notes, I think you'll find

0:46:26 > 0:46:32I haven't made any clinical mistakes. But I've been under

0:46:32 > 0:46:33a little bit of stress

0:46:33 > 0:46:36and I think I could do with taking a few weeks off.

0:46:36 > 0:46:38But if you want to take it further,

0:46:38 > 0:46:41that will give you all the evidence that you need.

0:46:43 > 0:46:46- I don't think I have a choice. - You do have a choice.

0:46:50 > 0:46:52Yes.

0:46:54 > 0:46:57I do need you to take some time off.

0:46:57 > 0:46:59And then we can discuss it further.

0:47:01 > 0:47:03That's...

0:47:07 > 0:47:09Thank you.

0:47:20 > 0:47:21Auntie!

0:47:39 > 0:47:42I was just really struggling to cope with the workload.

0:47:42 > 0:47:45I'd be staying two, three, four hours after work every day

0:47:45 > 0:47:47just to try and cope.

0:47:50 > 0:47:52I-I'm in the wrong place. Sorry.