0:00:02 > 0:00:05As of today, I am clinical lead, Just until Mrs Beauchamp returns.
0:00:05 > 0:00:07I've been under a little bit of stress.
0:00:07 > 0:00:09Think I could do with taking a few weeks off.
0:00:11 > 0:00:14- What happened?- You tell me. She's asystolic.
0:00:14 > 0:00:17Rash, help me get the pads on, front and back, OK?
0:00:17 > 0:00:18Rash?
0:00:22 > 0:00:23It's only false if it doesn't work.
0:00:23 > 0:00:25You're not the best person to be the judge of that.
0:00:25 > 0:00:28Do you know what? Keep up the pretence. No-one believes it.
0:00:30 > 0:00:31I'll just check.
0:00:32 > 0:00:36Sorry. Erm, yes, thank you.
0:00:36 > 0:00:38OK, folks, they're about to upgrade.
0:00:38 > 0:00:40That was the chief operating officer - she's on her way down.
0:00:40 > 0:00:43- In the meantime, no transfers. - STAFF EXCLAIM IN PROTEST
0:00:43 > 0:00:46I know, I know, but we're not at capacity yet.
0:00:46 > 0:00:49- OK, that's two more for resus. Five minutes.- You were saying?
0:00:52 > 0:00:53OK. All right.
0:00:54 > 0:00:57Right, let's... Let's put the full department protocol on.
0:00:57 > 0:01:00All right? We'll start using corridors for patients,
0:01:00 > 0:01:01so we'll need a corridor nurse on that.
0:01:01 > 0:01:05HTC and resus only for those who absolutely need it.
0:01:05 > 0:01:07Sorry, you do know how many we've got in reception already?
0:01:07 > 0:01:08Yes, I do. It's temporary.
0:01:08 > 0:01:11We just need to do our best until everything starts moving again.
0:01:11 > 0:01:15- PHONE BLEEPS - OK, that's the alert. It's code red.
0:01:15 > 0:01:17The hospital is officially full.
0:02:07 > 0:02:10Straight through to Resus, please. Can I have a PCF?
0:02:16 > 0:02:20- OK, bed four, please. - Have you got a pen?
0:02:20 > 0:02:22Sorry. Who are you?
0:02:22 > 0:02:25Bea Kinsella, your new F1.
0:02:25 > 0:02:28- OK, you need to speak to Dr Hardy. - Ooh!
0:02:28 > 0:02:30Gosh. All right.
0:02:30 > 0:02:33- Clamp, please, quickly. - Yeah, he might be a while.
0:02:33 > 0:02:34- Sorry.- OK, stem the bleed.
0:02:34 > 0:02:37- OK, let's get her onto the bed. - Let's get a pressure dressing on.
0:02:48 > 0:02:50Mm!
0:02:51 > 0:02:52Good work.
0:03:00 > 0:03:02- Get the door for us, will you, mate? - Sure.
0:03:04 > 0:03:06- There you go.- Thank you.- No problem.
0:03:09 > 0:03:10CLATTERING
0:03:10 > 0:03:12What was that?
0:03:13 > 0:03:15Are you all right?
0:03:15 > 0:03:17PHONE RINGS When's Dylan back?
0:03:18 > 0:03:22- Er...I don't know.- What, he's just off until further notice?
0:03:22 > 0:03:26We're already short. Are we getting a locum or...?
0:03:26 > 0:03:27No, we don't need a locum -
0:03:27 > 0:03:29we just need to get patients out of the department.
0:03:29 > 0:03:31Yes, but that's out of our control.
0:03:31 > 0:03:33Can we at least have some extra nurses?
0:03:33 > 0:03:36OK, Alicia, I could really do with some help and this isn't helping.
0:03:37 > 0:03:40Do you know there's also an F1 waiting for induction?
0:03:42 > 0:03:44- Is there any chance...?- No. - I literally don't have time.
0:03:44 > 0:03:46..needs to be sent home.
0:03:46 > 0:03:49OK, I think that's the new chief operating officer.
0:03:49 > 0:03:50Please, Alicia.
0:03:52 > 0:03:54- Fine.- Thank you.
0:03:56 > 0:03:57Miss Baxter? Hi.
0:03:57 > 0:03:59I'm Ethan Hardy, clinical lead.
0:04:01 > 0:04:02Never going to live this one down.
0:04:02 > 0:04:05They were more worried about the cakes, to be honest.
0:04:05 > 0:04:07Yeah, well, that's three days' work they're mopping up.
0:04:07 > 0:04:09What, just to make these little cakes?
0:04:09 > 0:04:1224 processes each. And if you call them cakes once more,
0:04:12 > 0:04:13I'm going to sock you, mate.
0:04:13 > 0:04:16It's all right. There's spare of everything -
0:04:16 > 0:04:18- there'll be enough for service. - Oh, good, panic over.
0:04:18 > 0:04:19It's my own stupid fault.
0:04:19 > 0:04:21If you're going to eat cake for breakfast, mate...
0:04:21 > 0:04:23Whoa, whoa, whoa, don't call them that!
0:04:23 > 0:04:26- He don't like the word "cake." - It's art, man.
0:04:26 > 0:04:27You hear that?
0:04:28 > 0:04:29Art, man.
0:04:31 > 0:04:33- Cuppa?- No, thanks.
0:04:33 > 0:04:34Shouldn't be much longer.
0:04:35 > 0:04:37Hi. Bea, was it?
0:04:37 > 0:04:39- Yeah.- Dr Hardy's not actually available now,
0:04:39 > 0:04:42so I'm going to get you up and running.
0:04:42 > 0:04:44Alicia Munroe. Specialist registrar.
0:04:44 > 0:04:46I was starting to think you'd forgotten about me.
0:04:46 > 0:04:50Yeah, sorry. As you can see, we're in the middle of a situation here.
0:04:50 > 0:04:52Well, then, you could use an extra pair of hands.
0:04:52 > 0:04:55- I'm ready when you are.- Great.
0:04:55 > 0:04:58Noel, are you making a cuppa?
0:04:58 > 0:04:59Do us one, will you, mate?
0:05:04 > 0:05:06SIREN WAILS
0:05:06 > 0:05:10CHARLIE: Calm down. I'm doing all that I can, all right?
0:05:10 > 0:05:12What?
0:05:12 > 0:05:13Don't even ask.
0:05:16 > 0:05:17Right, what have you got?
0:05:17 > 0:05:20- Diabetic hypo.- Have you worked your magic?
0:05:20 > 0:05:23- Of course.- Well, I'd make yourselves comfortable.
0:05:23 > 0:05:27- Is the SOP on?- Yes, but the corridor's all ready full up
0:05:27 > 0:05:30- and we're trying for a divert. - That doesn't really help us.
0:05:33 > 0:05:35Charlie, how long is it going to be?
0:05:36 > 0:05:38It's a piece of string, I'm afraid.
0:06:14 > 0:06:18IAIN: Yeah, well, every winter, mate, they tell us they're prepared.
0:06:18 > 0:06:21And every winter the whole thing falls apart.
0:06:21 > 0:06:23Everybody points the finger at A&E like that's where the problem is,
0:06:23 > 0:06:26but if there's no beds on ITU, what are you going to do?
0:06:26 > 0:06:30You can't risk surgery, so people get stuck on beds,
0:06:30 > 0:06:31you've got old people stuck on beds
0:06:31 > 0:06:34cos social services hasn't got anywhere to put them.
0:06:34 > 0:06:36Chronic patients start falling like flies,
0:06:36 > 0:06:38so they're having prolonged stays, so what do you get?
0:06:40 > 0:06:41Bottleneck.
0:06:42 > 0:06:44Are you feeling all right?
0:06:44 > 0:06:46Yeah, just a bit wiped.
0:06:46 > 0:06:48Coffee?
0:06:48 > 0:06:50Cheers.
0:06:50 > 0:06:53- It's a game of sardines in there.- Really?
0:06:53 > 0:06:54How's he doing?
0:06:54 > 0:06:56His blood sugar's back up but his BP's still falling.
0:06:56 > 0:06:59He's a bit tachy. I'm going to see if I can get us bumped up a bit.
0:06:59 > 0:07:01- Keep an eye on him. - Good luck with that.
0:07:03 > 0:07:04No, I'm not cross about it -
0:07:04 > 0:07:07I just wanted to whisk you away somewhere romantic.
0:07:07 > 0:07:10I don't need whisking or romantic.
0:07:13 > 0:07:16Oh, you soppy, lovely old fool, you.
0:07:20 > 0:07:22Charlie, sorry. Can you have a look at a patient for me?
0:07:22 > 0:07:23I'm a bit worried.
0:07:26 > 0:07:28Happy anniversary.
0:07:37 > 0:07:39Happy anniversary.
0:07:39 > 0:07:41Thank you. Remind me what you've got.
0:07:41 > 0:07:44OK, 22-year-old male, type-one diabetic,
0:07:44 > 0:07:48had a hypo basically because he had too much sugar for breakfast
0:07:48 > 0:07:51and tried to make up for it with extra insulin, the numpty.
0:07:51 > 0:07:55We've given him 100ml of IV, 10% glucose,
0:07:55 > 0:07:59his BM's 5.7, but he's still drowsy and slightly tachy.
0:07:59 > 0:08:04BP's 100/70, low-grade temperature 37.6 and his resp rate's 20.
0:08:04 > 0:08:07- What's his name again?- Kam.- Right.
0:08:07 > 0:08:10Hello, Kam. My name's Charlie.
0:08:10 > 0:08:12- All right, Charlie?- Yeah.
0:08:12 > 0:08:13Let's have a look.
0:08:14 > 0:08:16- Nice lippy.- What's that?
0:08:18 > 0:08:21- Nice lippy.- Oh, that's my wife.
0:08:21 > 0:08:24- If you say so.- Behave - it's his wedding anniversary.
0:08:24 > 0:08:26Oh, congrats, fella.
0:08:26 > 0:08:30Thank you. So, let's get some oxygen up and a fluid bolus
0:08:30 > 0:08:35of 250 of normal saline to get his heart rate down.
0:08:36 > 0:08:37And I'll get us a doctor.
0:08:37 > 0:08:40Take your time. First day off I've had in months.
0:08:41 > 0:08:44- Cheers, Charlie.- Cheers. - Nice one, mate.
0:08:51 > 0:08:52Right, excellent.
0:08:52 > 0:08:56OK. Clinical guidelines...
0:08:57 > 0:09:00Alicia, can I borrow you?
0:09:00 > 0:09:02- Er, can it wait?- I don't think so.
0:09:04 > 0:09:06Right, we're going to have to come back to this.
0:09:06 > 0:09:09- Ready to get your hands dirty?- Yes.
0:09:20 > 0:09:23OK, does it hurt when you move your head side to side?
0:09:27 > 0:09:29And can you touch your chest with your chin?
0:09:30 > 0:09:33OK. I'm just going to have a little feel of your tummy
0:09:33 > 0:09:35if that's all right.
0:09:35 > 0:09:38I've never had a hypo like this before.
0:09:38 > 0:09:42You know what? It's probably just a touch of the old man flu.
0:09:42 > 0:09:44But it's better to be safe than sorry, eh?
0:09:45 > 0:09:51OK, can I get an FBC, LFT, U&Es, clotting, CRP,
0:09:51 > 0:09:54and can we start on monitoring his urine output, please?
0:09:55 > 0:09:57I'm going to try and get him inside.
0:09:57 > 0:09:59Right. Good luck with that.
0:10:04 > 0:10:06Oh, not the hair!
0:10:06 > 0:10:09- Bea!- Surprise.
0:10:09 > 0:10:12- Dipstick.- Same to you, dipstick.
0:10:12 > 0:10:15- I need a urine dipstick.- Oh, er, I'll just show you where they are.
0:10:17 > 0:10:19Thought I was getting away from all that old-lady wee
0:10:19 > 0:10:23when I left the OPU. Who do I have to sleep with to get into resus?
0:10:24 > 0:10:27I wouldn't know. I'm doing all I can to stay out of there.
0:10:27 > 0:10:28- There you go.- Thank you.
0:10:28 > 0:10:30It's so good to see you.
0:10:30 > 0:10:31- I'd better...- Yeah.
0:10:35 > 0:10:36Sorry.
0:10:38 > 0:10:41If you'd just like to keep your arm like that, keep some pressure there.
0:10:41 > 0:10:42Good man.
0:10:46 > 0:10:49So, what are you doing for your anniversary, then, Charlie Bear?
0:10:49 > 0:10:52- You're looking at it. - That's sad, bro.
0:10:52 > 0:10:54How long you been married?
0:10:54 > 0:10:56- A year.- A year?
0:10:56 > 0:10:58- One year?- Yeah.- How old are you?
0:11:01 > 0:11:03Seriously? It's your first wedding anniversary
0:11:03 > 0:11:05and you're not spoiling her?
0:11:05 > 0:11:07It'll be your last, too, if you're not careful.
0:11:07 > 0:11:10- I got flowers.- Where from? The garage?
0:11:13 > 0:11:14Mate!
0:11:20 > 0:11:23All done. She definitely has a UTI, so I've given her Trimethoprim.
0:11:23 > 0:11:26- She's ready for review and discharge.- Good.
0:11:27 > 0:11:30We can't give cubicle space to a stable 22-year-old
0:11:30 > 0:11:33- when there are more urgent patients. - I agree.
0:11:33 > 0:11:35So I'm supposed to just treat him in the ambulance?
0:11:35 > 0:11:37For now, yes. PHONE RINGS
0:11:37 > 0:11:40Avis Bexter. All right, I'll come up.
0:11:40 > 0:11:42- I'll be back.- OK.
0:11:43 > 0:11:45You could have taken my side.
0:11:45 > 0:11:46It's not about sides.
0:11:46 > 0:11:48It's a clinical decision.
0:11:48 > 0:11:51Mr Jansen's free to go.
0:11:51 > 0:11:53At last, and what's the conclusion?
0:11:53 > 0:11:55Rhinovirus infection.
0:11:55 > 0:11:56So he's got a cold?
0:11:56 > 0:11:59- PHONE RINGS - Urgent patients?
0:11:59 > 0:12:01Mr Janssen also has COPD.
0:12:04 > 0:12:05Excuse me.
0:12:06 > 0:12:11You two, if you can't get through it in 20 minutes, come and find me.
0:12:11 > 0:12:12Sure.
0:12:12 > 0:12:14Sorry. Thank you, Dr Gardner.
0:12:18 > 0:12:21Ah, Duffy. That's Blake's solicitor. I will be two minutes.
0:12:21 > 0:12:23All right.
0:12:23 > 0:12:24A rhinovirus infection?
0:12:26 > 0:12:27Yes.
0:12:33 > 0:12:35Hello, Mr Calderwood.
0:12:35 > 0:12:36I'm Dr Masum.
0:13:03 > 0:13:06- 38.3.- You all right, Kam? How are you doing?
0:13:06 > 0:13:08HE MOANS
0:13:11 > 0:13:13Now, don't fall asleep on me now, mate.
0:13:13 > 0:13:17I need your help. All the good restaurants are fully booked.
0:13:17 > 0:13:20So, have you got any other bright ideas?
0:13:20 > 0:13:21I don't know, man.
0:13:25 > 0:13:27He's hitting markers. I don't like this.
0:13:28 > 0:13:30- Looks like he's septic. - Where's Alicia?
0:13:30 > 0:13:32Well, she'll be here when she gets here.
0:13:32 > 0:13:34All right, Kam, don't flake on us.
0:13:35 > 0:13:37Yeah, come on, mate.
0:13:38 > 0:13:42What did you do for your last anniversary?
0:13:42 > 0:13:46Mate, I work 16 hours a day, seven days a week.
0:13:46 > 0:13:48As if I have time for a girlfriend.
0:13:49 > 0:13:52- That's my excuse an' all. - I know what you mean.- Hi.
0:13:54 > 0:13:55His bloods.
0:13:59 > 0:14:03- Well, this is cosy.- Kam, listen.
0:14:03 > 0:14:04This is important, OK?
0:14:04 > 0:14:07You've got an infection, but we don't know where it is.
0:14:07 > 0:14:10It's not urine or kidney and I don't think it's pneumonia.
0:14:10 > 0:14:12Have you got any symptoms at all
0:14:12 > 0:14:13that you might not be telling us about?
0:14:15 > 0:14:19Kam, have you hurt yourself at all?
0:14:19 > 0:14:22- What about burns?- Yeah, have you burnt yourself?
0:14:22 > 0:14:24Not for, like, a week.
0:14:24 > 0:14:26- It hurts, though.- Where is it?
0:14:28 > 0:14:32- Sorry, mate. I'm going to have to cut this.- What? No way!
0:14:34 > 0:14:36- Do you know how much chefs' whites cost?- Sorry, mate.
0:14:50 > 0:14:52Right, let's start the sepsis six.
0:14:52 > 0:14:54We're still within the hour to keep his antibiotics up.
0:14:54 > 0:14:57Iain, keep him on oxygen and above 95%.
0:14:57 > 0:15:00And I'll need fluids and cultures once you get another line.
0:15:00 > 0:15:03And I want hourly urine checks.
0:15:03 > 0:15:05- Charlie, come with me.- Yeah.
0:15:31 > 0:15:33I said, "Don't worry about it.
0:15:33 > 0:15:36"It's only a blocked trachy. We'll be back home by tea-time,
0:15:36 > 0:15:38"so why don't you pop in?" And she said,
0:15:38 > 0:15:40"I would, but I've got something on."
0:15:40 > 0:15:44So I said, "All right. Well, maybe tomorrow, then?"
0:15:44 > 0:15:45And she said, "Maybe."
0:15:46 > 0:15:49Actually, there's that chicken in the fridge. I'll roast it off.
0:15:49 > 0:15:51And if she doesn't come, then I'll
0:15:51 > 0:15:53just turn it into soup. What do you think?
0:15:53 > 0:15:55All right. We'll do that, then.
0:15:55 > 0:15:57Chicken noodle soup - that'll sort you out.
0:15:59 > 0:16:01What?
0:16:03 > 0:16:05Right, I think that's about done.
0:16:06 > 0:16:08We'll get you started on antibiotics.
0:16:08 > 0:16:11PATIENT COUGHS
0:16:11 > 0:16:12You all right?
0:16:14 > 0:16:16Mr Calderwood, can I take a look at your stitches?
0:16:22 > 0:16:24When did you last see your oncologist?
0:16:24 > 0:16:26- Wednesday.- Did he take a look at this?
0:16:26 > 0:16:29No, we've got a surgical outpatient appointment next week.
0:16:29 > 0:16:33Right. It's not healing as well as I would have expected after two weeks,
0:16:33 > 0:16:36but we'll run a few tests, just to be on the safe side.
0:16:36 > 0:16:40David, FBCs, U&Es, LFT, CRP,
0:16:40 > 0:16:43amylase clotting of EPG and the blood cultures.
0:16:43 > 0:16:46Let's do a chest X-ray and an abdominal CT as well.
0:16:46 > 0:16:47And let's give him some IV paracetamol.
0:16:49 > 0:16:50How are you doing?
0:16:51 > 0:16:53Fine.
0:16:53 > 0:16:55Um, sorry, just excuse me just a minute.
0:16:55 > 0:16:57What's up?
0:16:57 > 0:16:59You heard what they said - you got to move quicker, man.
0:16:59 > 0:17:02Just transfer him to a ward if he needs investigation.
0:17:02 > 0:17:03What ward? There aren't any beds.
0:17:03 > 0:17:05Well, they'll have to find one, won't they?
0:17:05 > 0:17:07Come on, there's ambulances queueing up outside.
0:17:07 > 0:17:11- Bea, I thought we swapped patients. - Yeah, and I've done mine.
0:17:11 > 0:17:12It's up to you. Just trying to help.
0:17:15 > 0:17:18David, let's transfer him to AAU.
0:17:18 > 0:17:20- But...- Yeah, I know.
0:17:20 > 0:17:22Just add him to the list.
0:17:24 > 0:17:25Oh, right.
0:17:30 > 0:17:33Mr Calderwood, we're going to admit you for observation,
0:17:33 > 0:17:36and have a surgeon look at those stitches.
0:17:36 > 0:17:38He might need an overnight bag.
0:17:38 > 0:17:40Wouldn't it be quicker to sort him out here?
0:17:40 > 0:17:42Er, for you, yes, probably.
0:17:42 > 0:17:44But not for us, I'm afraid.
0:17:45 > 0:17:47I really am sorry about this.
0:17:48 > 0:17:50All right.
0:17:50 > 0:17:51I'll go and pack you a bag.
0:17:54 > 0:17:56Stay out of trouble while I'm gone.
0:17:58 > 0:18:01The plan is for St James's to take three of our ITU patients
0:18:01 > 0:18:04but we're still awaiting transfer. As soon as they're ready,
0:18:04 > 0:18:06- and they've gone, these two can go to theatre.- OK.
0:18:06 > 0:18:08PHONE RINGS
0:18:10 > 0:18:11ETHAN SIGHS
0:18:11 > 0:18:13- Connie?- Yes.
0:18:13 > 0:18:15You know, she won't give up till you answer.
0:18:15 > 0:18:18Not until I've got something positive to say.
0:18:19 > 0:18:22Right, OK. We need 450mg of piperacillin IV,
0:18:22 > 0:18:265mg per kilo of gentamicin and a litre of Hartmann's, please.
0:18:26 > 0:18:27Right.
0:18:27 > 0:18:30My 22-year-old in the ambulance is a red-flag sepsis.
0:18:30 > 0:18:33- Can we have a bed now?- Yes. - Call you back.
0:18:33 > 0:18:36Er...you're going to have to start treatment outside.
0:18:36 > 0:18:39- I-I'll figure it out. - That's everything.
0:18:41 > 0:18:44OK, well, let's play musical beds.
0:18:44 > 0:18:45- Yeah.- Yeah.
0:18:59 > 0:19:01PAPERS CLATTER
0:19:13 > 0:19:16Oh, Anya!
0:19:16 > 0:19:18Oh, thank...
0:19:18 > 0:19:20You nearly gave me a heart attack, love.
0:19:22 > 0:19:23What are you doing?
0:19:24 > 0:19:25Where's the gnome key?
0:19:26 > 0:19:30- The what?- The spare key we keep under the gnome - you've moved it.
0:19:30 > 0:19:33I don't know what... You've got your own key.
0:19:33 > 0:19:35I always use the gnome key.
0:19:35 > 0:19:37Well, it must be in the basket.
0:19:37 > 0:19:38How did you get in, then?
0:19:39 > 0:19:40Where's his will?
0:19:46 > 0:19:50I don't know the code. I'd start with your birthday.
0:19:54 > 0:19:57BEEPING
0:19:57 > 0:19:58SAFE OPENS
0:20:04 > 0:20:07- You can't be serious. He needs to be inside.- They're working on it.
0:20:07 > 0:20:08Alicia, if he dies on my truck
0:20:08 > 0:20:11- because we couldn't get him through them doors...- He won't.
0:20:16 > 0:20:18How are you feeling?
0:20:25 > 0:20:29Well...have I swindled you out of your inheritance?
0:20:30 > 0:20:31I had to check.
0:20:33 > 0:20:36I've seen the way you two are with each other.
0:20:36 > 0:20:38He depends on me.
0:20:38 > 0:20:40- He has to.- It's more than that.
0:20:41 > 0:20:44You've got him wrapped around your little finger.
0:20:44 > 0:20:48- That's not...- Your secret little looks back and forth.
0:20:48 > 0:20:50Anya, come on.
0:20:51 > 0:20:54I've looked after him every day for six, nearly seven, years.
0:20:54 > 0:20:56Exactly.
0:20:56 > 0:20:58It was supposed to be for a few months,
0:20:58 > 0:21:01but there was always something, wasn't there?
0:21:01 > 0:21:05An infection, a complication, a fresh diagnosis.
0:21:05 > 0:21:07Would you listen to yourself?!
0:21:07 > 0:21:09You wouldn't be the first gold-digger to try their luck.
0:21:11 > 0:21:14I'm not the one ransacking the place for his will.
0:21:15 > 0:21:17I don't want his money.
0:21:19 > 0:21:20I want him to get better.
0:21:24 > 0:21:25So do I, sweetheart.
0:21:29 > 0:21:30But he's not going to.
0:21:32 > 0:21:34So the best thing you can do...
0:21:35 > 0:21:38..is to make the most of the time he has left.
0:21:41 > 0:21:44Why don't you come back to the hospital with me?
0:21:47 > 0:21:48I don't like seeing him in there.
0:21:50 > 0:21:54It's bad enough here with his... bed in the living room.
0:21:55 > 0:21:59He can't do anything. He can't even have a proper conversation.
0:21:59 > 0:22:00Oh, you'd be surprised.
0:22:02 > 0:22:04He's still the same man underneath it all.
0:22:07 > 0:22:11You could read to him, watch TV together, come and cook him a meal.
0:22:11 > 0:22:13Isn't that what you're paid to do?
0:22:19 > 0:22:22I'll let you know when he's back home.
0:22:24 > 0:22:25Wait.
0:22:27 > 0:22:29I'll come.
0:22:33 > 0:22:36So, who do we need to move out of cubicles? Er...
0:22:36 > 0:22:38Is there anyone whose treatment doesn't...
0:22:38 > 0:22:39Can't believe I'm going to say this.
0:22:39 > 0:22:43Is there anyone whose treatment doesn't require any privacy?
0:22:44 > 0:22:48OK, er...Mason Calderwood's waiting for a bed on AAU.
0:22:48 > 0:22:51- OK, can he wait in a chair? - No, no. He needs to be lying down.
0:22:51 > 0:22:53ETHAN SIGHS All right.
0:22:53 > 0:22:58Let's see if there's anyone who's on a trolley in a corridor
0:22:58 > 0:23:00who doesn't need to be lying down. At this stage, I'll take
0:23:00 > 0:23:02anyone who can physically sit upright.
0:23:02 > 0:23:05- This is ridiculous.- Yes, it is.
0:23:06 > 0:23:10Right, here. Alan Peters. He can go in the waiting area.
0:23:11 > 0:23:16- Yes, OK. So if we put Mr Peters in a chair...- Mm-hm.
0:23:16 > 0:23:18- ..Mr Calderwood can take his space on the corridor.- Mm-hm.
0:23:18 > 0:23:21Miss Fenton can take Mr Calderwood's cubicle,
0:23:21 > 0:23:23so now we have a space in HDC
0:23:23 > 0:23:26we can use as an additional resus bay, yes?
0:23:26 > 0:23:29- OK, yeah.- Right, brilliant.
0:23:29 > 0:23:30OK, let's go.
0:23:30 > 0:23:32Lovely.
0:23:32 > 0:23:35So, how do you like being a clinical lead so far?
0:23:42 > 0:23:43Dad?
0:23:46 > 0:23:50- What's going on?- I'm really sorry, but we needed the cubicle.
0:23:50 > 0:23:53Are you joking? You're just going to leave him out here in the corridor?
0:23:53 > 0:23:55That's completely unacceptable.
0:23:55 > 0:23:58- I thought he was going to AAU. - We have requested a bed.
0:23:58 > 0:23:59And how long's that going to take?
0:23:59 > 0:24:01I'm not sure, but the minute I do, I'll be able to tell...
0:24:01 > 0:24:03For pity's sake!
0:24:03 > 0:24:06The man is terminally ill - you can't treat him like this.
0:24:06 > 0:24:09- Anya.- It's undignified.
0:24:09 > 0:24:10I-I know it's not ideal, and...
0:24:10 > 0:24:12I want to speak to your manager.
0:24:12 > 0:24:15- Oh, come on, love.- I mean it. Who's in charge around here?
0:24:17 > 0:24:19If you come with me, I'll find you a manager.
0:24:24 > 0:24:26I'm really sorry about this.
0:24:32 > 0:24:35So...I brought Anya with me.
0:24:38 > 0:24:39Should I...?
0:24:40 > 0:24:45No, you're right. Let her get it out of her system for a minute.
0:24:45 > 0:24:46Juice?
0:24:51 > 0:24:54I honestly always thought that a pastry chef just made pastry.
0:24:56 > 0:25:01I did! Should be called a pudding chef if that's what it is.
0:25:01 > 0:25:03I think I've been to your hotel before.
0:25:03 > 0:25:05Is it where you can have coffee and cakes in the lounge?
0:25:05 > 0:25:08Mm! Best cake I ever had, that.
0:25:08 > 0:25:09Maybe you made it.
0:25:11 > 0:25:13New dessert menu from today.
0:25:13 > 0:25:15You should come back and try it.
0:25:17 > 0:25:18I'll make you a selection up, special.
0:25:18 > 0:25:20I might take you up on that.
0:25:22 > 0:25:25OK, we've got him a bed.
0:25:25 > 0:25:26What you want - a round of applause?
0:25:27 > 0:25:29Right, let's get him inside, please.
0:25:31 > 0:25:35This is all absolutely true, no word of a lie.
0:25:35 > 0:25:37Have I not told you this before?
0:25:37 > 0:25:43Anyway, I turn around, and there he is, this nonagenarian in Speedos!
0:25:43 > 0:25:46HE LAUGHS AND COUGHS
0:25:46 > 0:25:49What is the polite thing to do? Do I say something?
0:25:49 > 0:25:51Do I not say something?
0:25:59 > 0:26:02- Excuse me!- All right, all right.
0:26:02 > 0:26:05OK, let me see. Let me see. Er...
0:26:07 > 0:26:10Oh, er, er...
0:26:10 > 0:26:12Duffy! Duffy!
0:26:12 > 0:26:15- Duffy, I really need your help. - Yeah? What is it?
0:26:18 > 0:26:23Oh, all right. Sir, I need you to keep your hands just like that.
0:26:23 > 0:26:26Ken, with me over here.
0:26:26 > 0:26:28OK, let's get him out of here.
0:26:28 > 0:26:29We shouldn't have swapped.
0:26:29 > 0:26:31Rash, with us!
0:26:35 > 0:26:36Just says it all, doesn't it,
0:26:36 > 0:26:38if we can't even find the person in charge?
0:26:40 > 0:26:43- Dr Hardy?- I want to speak to someone about my father's treatment.
0:26:43 > 0:26:46Ethan?
0:26:46 > 0:26:48Sorry. I've cleared HTC for...
0:26:49 > 0:26:52- Dad?- OK, yeah, go ahead.
0:26:52 > 0:26:53Anya!
0:26:56 > 0:26:59OK, we're going to have to put him in the corridor for now.
0:26:59 > 0:27:02- All right, there's space on three. - Just for a minute, OK?
0:27:02 > 0:27:04I'll get it sorted. Sorry.
0:27:09 > 0:27:10Excuse me.
0:27:11 > 0:27:14- Duffy, remind me.- Mason Calderwood,
0:27:14 > 0:27:18being treated for chest infection and blocked tracheostomy.
0:27:18 > 0:27:20History of laryngeal cancer and stomach cancer,
0:27:20 > 0:27:22for which he's had a partial gastrectomy.
0:27:22 > 0:27:24Two weeks ago, he was meant to have a Whipple's
0:27:24 > 0:27:27but it was deemed inoperable once they got inside.
0:27:27 > 0:27:29His wound opened on coughing.
0:27:29 > 0:27:31- Going down...- How you doing, Mason?
0:27:34 > 0:27:37OK. Get me 2.5 mg of midazolam,
0:27:37 > 0:27:4050 mg of atracurium to relax these abdo muscles.
0:27:40 > 0:27:44Get some fluids up now and crossmatch two units.
0:27:44 > 0:27:45Rash, I need you. Come here.
0:27:45 > 0:27:47Dr Masum, now!
0:27:47 > 0:27:50- Yeah.- OK, hold this.
0:27:50 > 0:27:51Oh, for the love of...
0:27:53 > 0:27:55Good. Thank you.
0:27:55 > 0:27:56David, check his airway.
0:27:57 > 0:27:59Thank you.
0:27:59 > 0:28:00One in.
0:28:01 > 0:28:03Good, drugs are in. How you doing, Mason?
0:28:04 > 0:28:06Good, right. Rash, you and I,
0:28:06 > 0:28:09we need to get all of this back inside his body. Are you ready?
0:28:09 > 0:28:11- Oh, I'm so sorry, so sorry... - No, no.
0:28:11 > 0:28:14- Rash, Rash! Get back here. - I'll do it.
0:28:14 > 0:28:17- Excellent. How is he doing? - Airways are clear.
0:28:19 > 0:28:21Can you hold this? You ready?
0:28:21 > 0:28:22- Mm-hm.- Good.
0:28:24 > 0:28:27You and I need to put this back inside his body. Are you ready?
0:28:27 > 0:28:28Yes.
0:28:28 > 0:28:30Here we go.
0:28:33 > 0:28:36OK, this isn't working. We need to open up the cavity.
0:28:36 > 0:28:37- Have you got him?- Yeah.
0:28:44 > 0:28:46- OK.- There we go.
0:28:46 > 0:28:50- MONITOR WARNING BLEEPS - He's going into shock.- I'm not surprised. Abdo packs, please.
0:28:50 > 0:28:51Already soaked.
0:28:54 > 0:28:56Apply pressure?
0:28:56 > 0:28:58OK, that should hold him till we get him up to theatre.
0:28:58 > 0:29:01David, tell them - HE'S the top priority.
0:29:01 > 0:29:03You ready? Good.
0:29:04 > 0:29:07Dr Kinsella...excellent work. Well done.
0:29:09 > 0:29:11Oh!
0:29:13 > 0:29:16Right, Kam, the doctors are going to take care of you now, all right?
0:29:16 > 0:29:19And I'll nip back later to see how you're getting on.
0:29:19 > 0:29:21Easy, fella.
0:29:21 > 0:29:22Thanks, guys.
0:29:26 > 0:29:27How you feeling, Kam?
0:29:29 > 0:29:30- No.- No?
0:29:32 > 0:29:33Mm-hm.
0:29:44 > 0:29:45Oh, this isn't good.
0:29:48 > 0:29:49Have a look at this.
0:29:56 > 0:29:58That's necrotising fasciitis.
0:29:59 > 0:30:02Right, Kam, can you talk to me for a minute?
0:30:03 > 0:30:05Do you know where you are?
0:30:05 > 0:30:06Seven.
0:30:06 > 0:30:09- OK, so, what's our next move? - We're going to resus.
0:30:10 > 0:30:12- There isn't any space.- I don't care!
0:30:12 > 0:30:15I'm not going to stand here and watch him die in the corridor.
0:30:17 > 0:30:19Let's go to resus.
0:30:22 > 0:30:23Time's up. Make way.
0:30:25 > 0:30:27Let's move bay two, please.
0:30:27 > 0:30:30Find a cubicle and stay with her, though, yeah?
0:30:30 > 0:30:32OK, push fluids and get an arterial line in,
0:30:32 > 0:30:35do an ABG and start a dobutamine infusion
0:30:35 > 0:30:37and let's get some more antibiotics up, please.
0:30:39 > 0:30:41OK, let's move.
0:30:43 > 0:30:45- Ah!- Thanks for making me look good.
0:30:46 > 0:30:49- You all right?- I'm fine.
0:30:49 > 0:30:53You missed a treat. It was like a wrestling a massive pile of sausages
0:30:53 > 0:30:56into a bumbag. I had my hands in him right up to there.
0:30:56 > 0:30:58The smell - it was like rotten meat.
0:30:58 > 0:31:00HE RETCHES
0:31:03 > 0:31:06- You're a funny one.- Bea, what's the matter with you?
0:31:06 > 0:31:08That's a person you're talking about.
0:31:08 > 0:31:10Anya, wait!
0:31:17 > 0:31:19Right, nice one. That's his daughter.
0:31:26 > 0:31:28Dr Hardy?
0:31:29 > 0:31:30Thanks.
0:31:33 > 0:31:35HE SIGHS
0:31:35 > 0:31:36Multi-organ failure.
0:31:38 > 0:31:42If we'd got him in here sooner, this would never have happened.
0:31:42 > 0:31:44What was I supposed to do?
0:31:44 > 0:31:46Seriously? What could I have done differently?
0:31:46 > 0:31:49The ventilated patients have been transferred to St James's.
0:31:49 > 0:31:52Finally! Right, let's get him straight up to theatre, please.
0:31:52 > 0:31:54I'm going to let surgery know that he's on his way up.
0:31:54 > 0:31:56And Mason Calderwood as well.
0:32:00 > 0:32:02I am so, so sorry.
0:32:02 > 0:32:04That will never happen again.
0:32:04 > 0:32:08- Please, hear me out.- Go on, then. Explain to me how funny this is.
0:32:08 > 0:32:11I absolutely did not mean for you to hear what I said outside.
0:32:11 > 0:32:12My father dying an unpleasant
0:32:12 > 0:32:15and painful death is something for you to laugh about.
0:32:15 > 0:32:17I'm so sorry - I was totally out of line.
0:32:17 > 0:32:20I want to make a formal complaint about this doctor.
0:32:20 > 0:32:23- Sorry?- This hospital's a disgrace!
0:32:23 > 0:32:25I don't know how you expect people to put up with it.
0:32:25 > 0:32:27Yeah, try working here, mate.
0:32:27 > 0:32:28Anya! That's enough.
0:32:28 > 0:32:31- I know you're struggling... - Coming through!- ..and feel guilty
0:32:31 > 0:32:33for not doing more but that's no-one else's fault.
0:32:33 > 0:32:34Where are you taking him?
0:32:34 > 0:32:37Back to theatre. They'll do a saline watch to try and prevent infection,
0:32:37 > 0:32:39then seal the wound. It shouldn't take that long,
0:32:39 > 0:32:41if you want to come with us.
0:32:41 > 0:32:42Not you.
0:32:43 > 0:32:46You can go back to the house and clear out your things.
0:32:46 > 0:32:48I'll call the agency and request a new carer
0:32:48 > 0:32:50when I know he's being discharged.
0:32:50 > 0:32:52And I still want to make a complaint about her.
0:32:52 > 0:32:54I'm the big cheese - you can speak to me about that.
0:32:54 > 0:32:56I'll see you upstairs.
0:32:58 > 0:33:00Are you all right?
0:33:01 > 0:33:03Yes, sorry.
0:33:03 > 0:33:06- I shouldn't have spoken to her like that.- No, you shouldn't.
0:33:06 > 0:33:07But that doesn't excuse her.
0:33:07 > 0:33:09Call the police, please. We need to
0:33:09 > 0:33:12- report an assault on a member of staff.- That isn't necessary.
0:33:12 > 0:33:13No exceptions.
0:33:14 > 0:33:16Right. Can we call them, please?
0:33:16 > 0:33:18- I'll do it now. - And what have you done?
0:33:20 > 0:33:23- This is why I don't like leaving my office.- Police, please.
0:33:23 > 0:33:26- I'd like to report an assault. - I'll speak to you later.
0:33:26 > 0:33:27Yeah, it's Holby ED.
0:33:29 > 0:33:31OK. Does someone want to explain to me
0:33:31 > 0:33:34what the hell's been going on, please?
0:33:34 > 0:33:36Hmm? You were meant to be keeping an eye on her.
0:33:38 > 0:33:40Alic...
0:33:40 > 0:33:42My office, the end of your shift.
0:33:59 > 0:34:01You know you'll have to write
0:34:01 > 0:34:03a statement for the police when they get here?
0:34:05 > 0:34:07- And one for the file. - Yes, I know the procedure.
0:34:11 > 0:34:12Yeah.
0:34:15 > 0:34:17Sorry, OK?
0:34:17 > 0:34:18Today has been...
0:34:19 > 0:34:21- ..difficult.- Yeah?
0:34:21 > 0:34:23You should tell that to Kam. Oh, no, wait. You can't.
0:34:27 > 0:34:30- If I could have just...- No.
0:34:30 > 0:34:33- It's not your fault. - I know it isn't!
0:34:33 > 0:34:35It's not mine, either.
0:34:35 > 0:34:37I told you we needed more staff.
0:34:38 > 0:34:40That wouldn't have helped him, would it?
0:34:48 > 0:34:50- Tomorrow will be better. - You don't know that.
0:34:50 > 0:34:53- I have to believe it.- Oh, why?
0:34:53 > 0:34:55Because now you've got your swanky new job,
0:34:55 > 0:34:57you have to toe the management line?
0:34:57 > 0:34:58Put on a suit and smile and tell everyone,
0:34:58 > 0:35:00"Oh, everything's going to be OK."
0:35:02 > 0:35:03That's unfair.
0:35:05 > 0:35:06I thought you'd be different.
0:35:09 > 0:35:11Nothing's ever going to change, is it?
0:35:13 > 0:35:15I'm doing my best.
0:35:15 > 0:35:17Yeah, well, it's not good enough.
0:35:37 > 0:35:39Is she still here?
0:35:40 > 0:35:42Yeah. She won't go till she knows he's OK.
0:35:45 > 0:35:46She's in love with him, Bea.
0:35:49 > 0:35:51Yeah.
0:36:03 > 0:36:04Hi.
0:36:04 > 0:36:06Do you mind if I...?
0:36:13 > 0:36:18I cannot apologise enough for what happened earlier.
0:36:18 > 0:36:20There is no excuse - I won't contest a complaint.
0:36:23 > 0:36:24I'm not condoning her behaviour.
0:36:27 > 0:36:29But she was only six when her mum died.
0:36:31 > 0:36:33Mason didn't cope - worked all hours.
0:36:35 > 0:36:38So, basically, she was brought up by a string of nannies.
0:36:42 > 0:36:43And I think...
0:36:45 > 0:36:47..that emotional distance between them...
0:36:49 > 0:36:52..this fear of losing another parent...
0:36:54 > 0:36:56I don't know.
0:36:57 > 0:37:00She's not handling any of this very well.
0:37:00 > 0:37:02I made it a hundred times worse.
0:37:05 > 0:37:09That description you gave will stay with her forever.
0:37:10 > 0:37:13That's what she'll remember of her dad's last days.
0:37:16 > 0:37:18Not the...
0:37:19 > 0:37:21The kind,
0:37:21 > 0:37:24funny, generous,
0:37:24 > 0:37:25wonderful...
0:37:29 > 0:37:30Sorry.
0:37:32 > 0:37:34Unprofessional.
0:37:34 > 0:37:35Look who you're talking to.
0:37:44 > 0:37:46You can't help who you fall in love with.
0:37:48 > 0:37:49There's nothing inappropriate.
0:37:49 > 0:37:51- No, sure. - And I've never acted on it.
0:37:55 > 0:37:58It just...crept up on me...
0:37:58 > 0:38:02- ..over the years.- He feels the same way about you, right?
0:38:04 > 0:38:05I don't know.
0:38:08 > 0:38:09Sometimes, I think...
0:38:11 > 0:38:12But we've never acknowledged.
0:38:15 > 0:38:17Maybe it's time that you did.
0:38:20 > 0:38:23I'll call up.
0:38:23 > 0:38:24I'll see if he's out of theatre.
0:38:38 > 0:38:39We just heard.
0:38:41 > 0:38:43I told him it was his own fault.
0:38:43 > 0:38:46- I only meant about the... - He would have known that.
0:38:46 > 0:38:47Are you all right?
0:38:52 > 0:38:53No.
0:38:55 > 0:38:56This was avoidable.
0:38:58 > 0:39:00He's only 22 and he's on life support
0:39:00 > 0:39:02in one of the richest countries in the world,
0:39:02 > 0:39:04with one of the best health systems in the world.
0:39:07 > 0:39:09What has to happen before people start listening?
0:39:11 > 0:39:12Before something gets done?
0:39:21 > 0:39:23Hey.
0:39:32 > 0:39:33I heard what happened.
0:39:38 > 0:39:40You did everything you could.
0:39:42 > 0:39:44Sometimes, the system just can't take the numbers.
0:39:48 > 0:39:50PHONE RINGS
0:39:52 > 0:39:53It's the Time Garden.
0:39:57 > 0:39:59Tried to book us a table for tonight.
0:40:01 > 0:40:04I love the Time Garden!
0:40:04 > 0:40:05I know.
0:40:09 > 0:40:10Don't fancy it?
0:40:13 > 0:40:14Not really.
0:40:16 > 0:40:18- Do you mind?- Course not!
0:40:24 > 0:40:26Fish and chips in front of the telly?
0:40:29 > 0:40:30Sounds perfect.
0:40:36 > 0:40:37Love you.
0:40:40 > 0:40:41Love you, too.
0:40:50 > 0:40:51Go in.
0:41:05 > 0:41:07Hey, you.
0:41:08 > 0:41:09Trouble.
0:41:14 > 0:41:17There's something I want to say to you.
0:41:17 > 0:41:19I should have said it a long time ago.
0:41:19 > 0:41:21I...
0:41:23 > 0:41:27I...love...
0:41:27 > 0:41:30..you, too.
0:41:32 > 0:41:34I love you!
0:41:34 > 0:41:37I love you so much!
0:41:44 > 0:41:46You can't go in there yet.
0:41:46 > 0:41:48- They said he was awake.- He just needs a few minutes.
0:41:48 > 0:41:50What's going on?
0:41:50 > 0:41:53- Get out of my way.- Please.
0:41:53 > 0:41:54Just let them say their goodbyes.
0:42:03 > 0:42:06Do you really want him to face his last days without her?
0:42:06 > 0:42:08She's been by his side through all of this.
0:42:10 > 0:42:12Don't take them away from each other now.
0:42:28 > 0:42:30I was just leaving.
0:42:30 > 0:42:31You don't have to.
0:42:36 > 0:42:37You can stay...
0:42:38 > 0:42:39..if you want.
0:43:01 > 0:43:04Hi. How are you doing?
0:43:07 > 0:43:08Have you seen Ethan yet?
0:43:09 > 0:43:12Just gearing myself up to go and face the music.
0:43:13 > 0:43:16What'll happen to her - Anya Calderwood?
0:43:16 > 0:43:19Er...I guess the police will decide whether they want to charge her not.
0:43:21 > 0:43:24I'm sure they'll take everything into consideration.
0:43:26 > 0:43:30This is not what I thought it would be like, working in the ED.
0:43:32 > 0:43:35- No.- This is where you tell me that it gets easier.
0:43:37 > 0:43:40Er...it doesn't.
0:43:40 > 0:43:43Right. Well, good pep talk.
0:43:43 > 0:43:44Yeah.
0:43:47 > 0:43:48I just want to be good at this.
0:43:50 > 0:43:52I think that's all any of us want.
0:43:56 > 0:43:57Right, see you.
0:44:14 > 0:44:16Mrs Beauchamp, it's Ethan.
0:44:16 > 0:44:18Er, sorry...
0:44:19 > 0:44:21Anyway, you probably know what's been happening here,
0:44:21 > 0:44:22which is why you were calling.
0:44:24 > 0:44:28Er...just to let you know, things are moving now and, er,
0:44:28 > 0:44:30I think we're out of the woods.
0:44:30 > 0:44:31OK, I'll see you soon.
0:44:33 > 0:44:35Do you want to come in? Close the door.
0:44:44 > 0:44:46I'm sorry. I know I messed up...
0:44:46 > 0:44:48..badly. I...
0:44:48 > 0:44:50I got carried away.
0:44:50 > 0:44:51I don't want to lose my job.
0:44:52 > 0:44:54You're not going to lose your job.
0:44:55 > 0:44:58But what about the complaint? Is it going to go on my file?
0:44:58 > 0:45:01- There isn't going to be a complaint. - What?
0:45:01 > 0:45:04Luckily for you, Miss Calderwood doesn't want to pursue it.
0:45:05 > 0:45:07But I can't just ignore what happened.
0:45:07 > 0:45:09No, sure.
0:45:09 > 0:45:13From now on, I'll be your clinical supervisor, OK?
0:45:13 > 0:45:16I'll keep an eye on your work. I'll oversee your portfolio.
0:45:16 > 0:45:18Really?
0:45:18 > 0:45:21- That's amazing.- It's not meant to be a reward.
0:45:21 > 0:45:22Yeah, no.
0:45:23 > 0:45:24That's all.
0:45:28 > 0:45:31Dr Gardner said that you were excellent in HDC earlier.
0:45:33 > 0:45:35But you know that's only half the job.
0:45:35 > 0:45:38- I understand.- Please don't let me down.- I won't.
0:45:51 > 0:45:53Thank you.