Episode 22 Casualty


Episode 22

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Transcript


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As of today, I am clinical lead, Just until Mrs Beauchamp returns.

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I've been under a little bit of stress.

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Think I could do with taking a few weeks off.

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-What happened?

-You tell me. She's asystolic.

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Rash, help me get the pads on, front and back, OK?

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Rash?

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It's only false if it doesn't work.

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You're not the best person to be the judge of that.

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Do you know what? Keep up the pretence. No-one believes it.

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I'll just check.

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Sorry. Erm, yes, thank you.

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OK, folks, they're about to upgrade.

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That was the chief operating officer - she's on her way down.

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-In the meantime, no transfers.

-STAFF EXCLAIM IN PROTEST

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I know, I know, but we're not at capacity yet.

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-OK, that's two more for resus. Five minutes.

-You were saying?

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OK. All right.

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Right, let's... Let's put the full department protocol on.

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All right? We'll start using corridors for patients,

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so we'll need a corridor nurse on that.

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HTC and resus only for those who absolutely need it.

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Sorry, you do know how many we've got in reception already?

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Yes, I do. It's temporary.

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We just need to do our best until everything starts moving again.

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-PHONE BLEEPS

-OK, that's the alert. It's code red.

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The hospital is officially full.

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Straight through to Resus, please. Can I have a PCF?

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-OK, bed four, please.

-Have you got a pen?

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Sorry. Who are you?

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Bea Kinsella, your new F1.

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-OK, you need to speak to Dr Hardy.

-Ooh!

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Gosh. All right.

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-Clamp, please, quickly.

-Yeah, he might be a while.

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-Sorry.

-OK, stem the bleed.

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-OK, let's get her onto the bed.

-Let's get a pressure dressing on.

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Mm!

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Good work.

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-Get the door for us, will you, mate?

-Sure.

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-There you go.

-Thank you.

-No problem.

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CLATTERING

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What was that?

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Are you all right?

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PHONE RINGS When's Dylan back?

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-Er...I don't know.

-What, he's just off until further notice?

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We're already short. Are we getting a locum or...?

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No, we don't need a locum -

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we just need to get patients out of the department.

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Yes, but that's out of our control.

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Can we at least have some extra nurses?

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OK, Alicia, I could really do with some help and this isn't helping.

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Do you know there's also an F1 waiting for induction?

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-Is there any chance...?

-No.

-I literally don't have time.

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..needs to be sent home.

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OK, I think that's the new chief operating officer.

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Please, Alicia.

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-Fine.

-Thank you.

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Miss Baxter? Hi.

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I'm Ethan Hardy, clinical lead.

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Never going to live this one down.

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They were more worried about the cakes, to be honest.

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Yeah, well, that's three days' work they're mopping up.

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What, just to make these little cakes?

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24 processes each. And if you call them cakes once more,

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I'm going to sock you, mate.

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It's all right. There's spare of everything -

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-there'll be enough for service.

-Oh, good, panic over.

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It's my own stupid fault.

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If you're going to eat cake for breakfast, mate...

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Whoa, whoa, whoa, don't call them that!

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-He don't like the word "cake."

-It's art, man.

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You hear that?

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Art, man.

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-Cuppa?

-No, thanks.

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Shouldn't be much longer.

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Hi. Bea, was it?

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-Yeah.

-Dr Hardy's not actually available now,

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so I'm going to get you up and running.

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Alicia Munroe. Specialist registrar.

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I was starting to think you'd forgotten about me.

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Yeah, sorry. As you can see, we're in the middle of a situation here.

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Well, then, you could use an extra pair of hands.

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-I'm ready when you are.

-Great.

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Noel, are you making a cuppa?

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Do us one, will you, mate?

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SIREN WAILS

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CHARLIE: Calm down. I'm doing all that I can, all right?

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What?

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Don't even ask.

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Right, what have you got?

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-Diabetic hypo.

-Have you worked your magic?

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-Of course.

-Well, I'd make yourselves comfortable.

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-Is the SOP on?

-Yes, but the corridor's all ready full up

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-and we're trying for a divert.

-That doesn't really help us.

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Charlie, how long is it going to be?

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It's a piece of string, I'm afraid.

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IAIN: Yeah, well, every winter, mate, they tell us they're prepared.

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And every winter the whole thing falls apart.

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Everybody points the finger at A&E like that's where the problem is,

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but if there's no beds on ITU, what are you going to do?

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You can't risk surgery, so people get stuck on beds,

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you've got old people stuck on beds

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cos social services hasn't got anywhere to put them.

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Chronic patients start falling like flies,

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so they're having prolonged stays, so what do you get?

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Bottleneck.

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Are you feeling all right?

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Yeah, just a bit wiped.

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Coffee?

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Cheers.

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-It's a game of sardines in there.

-Really?

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How's he doing?

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His blood sugar's back up but his BP's still falling.

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He's a bit tachy. I'm going to see if I can get us bumped up a bit.

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-Keep an eye on him.

-Good luck with that.

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No, I'm not cross about it -

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I just wanted to whisk you away somewhere romantic.

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I don't need whisking or romantic.

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Oh, you soppy, lovely old fool, you.

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Charlie, sorry. Can you have a look at a patient for me?

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I'm a bit worried.

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Happy anniversary.

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Happy anniversary.

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Thank you. Remind me what you've got.

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OK, 22-year-old male, type-one diabetic,

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had a hypo basically because he had too much sugar for breakfast

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and tried to make up for it with extra insulin, the numpty.

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We've given him 100ml of IV, 10% glucose,

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his BM's 5.7, but he's still drowsy and slightly tachy.

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BP's 100/70, low-grade temperature 37.6 and his resp rate's 20.

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-What's his name again?

-Kam.

-Right.

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Hello, Kam. My name's Charlie.

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-All right, Charlie?

-Yeah.

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Let's have a look.

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-Nice lippy.

-What's that?

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-Nice lippy.

-Oh, that's my wife.

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-If you say so.

-Behave - it's his wedding anniversary.

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Oh, congrats, fella.

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Thank you. So, let's get some oxygen up and a fluid bolus

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of 250 of normal saline to get his heart rate down.

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And I'll get us a doctor.

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Take your time. First day off I've had in months.

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-Cheers, Charlie.

-Cheers.

-Nice one, mate.

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Right, excellent.

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OK. Clinical guidelines...

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Alicia, can I borrow you?

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-Er, can it wait?

-I don't think so.

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Right, we're going to have to come back to this.

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-Ready to get your hands dirty?

-Yes.

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OK, does it hurt when you move your head side to side?

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And can you touch your chest with your chin?

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OK. I'm just going to have a little feel of your tummy

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if that's all right.

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I've never had a hypo like this before.

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You know what? It's probably just a touch of the old man flu.

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But it's better to be safe than sorry, eh?

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OK, can I get an FBC, LFT, U&Es, clotting, CRP,

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and can we start on monitoring his urine output, please?

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I'm going to try and get him inside.

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Right. Good luck with that.

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Oh, not the hair!

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-Bea!

-Surprise.

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-Dipstick.

-Same to you, dipstick.

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-I need a urine dipstick.

-Oh, er, I'll just show you where they are.

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Thought I was getting away from all that old-lady wee

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when I left the OPU. Who do I have to sleep with to get into resus?

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I wouldn't know. I'm doing all I can to stay out of there.

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-There you go.

-Thank you.

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It's so good to see you.

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-I'd better...

-Yeah.

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Sorry.

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If you'd just like to keep your arm like that, keep some pressure there.

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Good man.

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So, what are you doing for your anniversary, then, Charlie Bear?

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-You're looking at it.

-That's sad, bro.

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How long you been married?

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-A year.

-A year?

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-One year?

-Yeah.

-How old are you?

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Seriously? It's your first wedding anniversary

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and you're not spoiling her?

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It'll be your last, too, if you're not careful.

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-I got flowers.

-Where from? The garage?

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Mate!

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All done. She definitely has a UTI, so I've given her Trimethoprim.

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-She's ready for review and discharge.

-Good.

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We can't give cubicle space to a stable 22-year-old

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-when there are more urgent patients.

-I agree.

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So I'm supposed to just treat him in the ambulance?

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For now, yes. PHONE RINGS

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Avis Bexter. All right, I'll come up.

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-I'll be back.

-OK.

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You could have taken my side.

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It's not about sides.

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It's a clinical decision.

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Mr Jansen's free to go.

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At last, and what's the conclusion?

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Rhinovirus infection.

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So he's got a cold?

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-PHONE RINGS

-Urgent patients?

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Mr Janssen also has COPD.

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Excuse me.

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You two, if you can't get through it in 20 minutes, come and find me.

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Sure.

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Sorry. Thank you, Dr Gardner.

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Ah, Duffy. That's Blake's solicitor. I will be two minutes.

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All right.

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A rhinovirus infection?

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Yes.

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Hello, Mr Calderwood.

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I'm Dr Masum.

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-38.3.

-You all right, Kam? How are you doing?

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HE MOANS

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Now, don't fall asleep on me now, mate.

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I need your help. All the good restaurants are fully booked.

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So, have you got any other bright ideas?

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I don't know, man.

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He's hitting markers. I don't like this.

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-Looks like he's septic.

-Where's Alicia?

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Well, she'll be here when she gets here.

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All right, Kam, don't flake on us.

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Yeah, come on, mate.

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What did you do for your last anniversary?

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Mate, I work 16 hours a day, seven days a week.

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As if I have time for a girlfriend.

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-That's my excuse an' all.

-I know what you mean.

-Hi.

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His bloods.

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-Well, this is cosy.

-Kam, listen.

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This is important, OK?

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You've got an infection, but we don't know where it is.

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It's not urine or kidney and I don't think it's pneumonia.

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Have you got any symptoms at all

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that you might not be telling us about?

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Kam, have you hurt yourself at all?

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-What about burns?

-Yeah, have you burnt yourself?

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Not for, like, a week.

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-It hurts, though.

-Where is it?

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-Sorry, mate. I'm going to have to cut this.

-What? No way!

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-Do you know how much chefs' whites cost?

-Sorry, mate.

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Right, let's start the sepsis six.

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We're still within the hour to keep his antibiotics up.

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Iain, keep him on oxygen and above 95%.

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And I'll need fluids and cultures once you get another line.

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And I want hourly urine checks.

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-Charlie, come with me.

-Yeah.

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I said, "Don't worry about it.

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"It's only a blocked trachy. We'll be back home by tea-time,

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"so why don't you pop in?" And she said,

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"I would, but I've got something on."

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So I said, "All right. Well, maybe tomorrow, then?"

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And she said, "Maybe."

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Actually, there's that chicken in the fridge. I'll roast it off.

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And if she doesn't come, then I'll

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just turn it into soup. What do you think?

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All right. We'll do that, then.

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Chicken noodle soup - that'll sort you out.

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What?

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Right, I think that's about done.

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We'll get you started on antibiotics.

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PATIENT COUGHS

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You all right?

0:16:110:16:12

Mr Calderwood, can I take a look at your stitches?

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When did you last see your oncologist?

0:16:220:16:24

-Wednesday.

-Did he take a look at this?

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No, we've got a surgical outpatient appointment next week.

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Right. It's not healing as well as I would have expected after two weeks,

0:16:290:16:33

but we'll run a few tests, just to be on the safe side.

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David, FBCs, U&Es, LFT, CRP,

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amylase clotting of EPG and the blood cultures.

0:16:400:16:43

Let's do a chest X-ray and an abdominal CT as well.

0:16:430:16:46

And let's give him some IV paracetamol.

0:16:460:16:47

How are you doing?

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Fine.

0:16:510:16:53

Um, sorry, just excuse me just a minute.

0:16:530:16:55

What's up?

0:16:550:16:57

You heard what they said - you got to move quicker, man.

0:16:570:16:59

Just transfer him to a ward if he needs investigation.

0:16:590:17:02

What ward? There aren't any beds.

0:17:020:17:03

Well, they'll have to find one, won't they?

0:17:030:17:05

Come on, there's ambulances queueing up outside.

0:17:050:17:07

-Bea, I thought we swapped patients.

-Yeah, and I've done mine.

0:17:070:17:11

It's up to you. Just trying to help.

0:17:110:17:12

David, let's transfer him to AAU.

0:17:150:17:18

-But...

-Yeah, I know.

0:17:180:17:20

Just add him to the list.

0:17:200:17:22

Oh, right.

0:17:240:17:25

Mr Calderwood, we're going to admit you for observation,

0:17:300:17:33

and have a surgeon look at those stitches.

0:17:330:17:36

He might need an overnight bag.

0:17:360:17:38

Wouldn't it be quicker to sort him out here?

0:17:380:17:40

Er, for you, yes, probably.

0:17:400:17:42

But not for us, I'm afraid.

0:17:420:17:44

I really am sorry about this.

0:17:450:17:47

All right.

0:17:480:17:50

I'll go and pack you a bag.

0:17:500:17:51

Stay out of trouble while I'm gone.

0:17:540:17:56

The plan is for St James's to take three of our ITU patients

0:17:580:18:01

but we're still awaiting transfer. As soon as they're ready,

0:18:010:18:04

-and they've gone, these two can go to theatre.

-OK.

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PHONE RINGS

0:18:060:18:08

ETHAN SIGHS

0:18:100:18:11

-Connie?

-Yes.

0:18:110:18:13

You know, she won't give up till you answer.

0:18:130:18:15

Not until I've got something positive to say.

0:18:150:18:18

Right, OK. We need 450mg of piperacillin IV,

0:18:190:18:22

5mg per kilo of gentamicin and a litre of Hartmann's, please.

0:18:220:18:26

Right.

0:18:260:18:27

My 22-year-old in the ambulance is a red-flag sepsis.

0:18:270:18:30

-Can we have a bed now?

-Yes.

-Call you back.

0:18:300:18:33

Er...you're going to have to start treatment outside.

0:18:330:18:36

-I-I'll figure it out.

-That's everything.

0:18:360:18:39

OK, well, let's play musical beds.

0:18:410:18:44

-Yeah.

-Yeah.

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PAPERS CLATTER

0:18:590:19:01

Oh, Anya!

0:19:130:19:16

Oh, thank...

0:19:160:19:18

You nearly gave me a heart attack, love.

0:19:180:19:20

What are you doing?

0:19:220:19:23

Where's the gnome key?

0:19:240:19:25

-The what?

-The spare key we keep under the gnome - you've moved it.

0:19:260:19:30

I don't know what... You've got your own key.

0:19:300:19:33

I always use the gnome key.

0:19:330:19:35

Well, it must be in the basket.

0:19:350:19:37

How did you get in, then?

0:19:370:19:38

Where's his will?

0:19:390:19:40

I don't know the code. I'd start with your birthday.

0:19:460:19:50

BEEPING

0:19:540:19:57

SAFE OPENS

0:19:570:19:58

-You can't be serious. He needs to be inside.

-They're working on it.

0:20:040:20:07

Alicia, if he dies on my truck

0:20:070:20:08

-because we couldn't get him through them doors...

-He won't.

0:20:080:20:11

How are you feeling?

0:20:160:20:18

Well...have I swindled you out of your inheritance?

0:20:250:20:29

I had to check.

0:20:300:20:31

I've seen the way you two are with each other.

0:20:330:20:36

He depends on me.

0:20:360:20:38

-He has to.

-It's more than that.

0:20:380:20:40

You've got him wrapped around your little finger.

0:20:410:20:44

-That's not...

-Your secret little looks back and forth.

0:20:440:20:48

Anya, come on.

0:20:480:20:50

I've looked after him every day for six, nearly seven, years.

0:20:510:20:54

Exactly.

0:20:540:20:56

It was supposed to be for a few months,

0:20:560:20:58

but there was always something, wasn't there?

0:20:580:21:01

An infection, a complication, a fresh diagnosis.

0:21:010:21:05

Would you listen to yourself?!

0:21:050:21:07

You wouldn't be the first gold-digger to try their luck.

0:21:070:21:09

I'm not the one ransacking the place for his will.

0:21:110:21:14

I don't want his money.

0:21:150:21:17

I want him to get better.

0:21:190:21:20

So do I, sweetheart.

0:21:240:21:25

But he's not going to.

0:21:290:21:30

So the best thing you can do...

0:21:320:21:34

..is to make the most of the time he has left.

0:21:350:21:38

Why don't you come back to the hospital with me?

0:21:410:21:44

I don't like seeing him in there.

0:21:470:21:48

It's bad enough here with his... bed in the living room.

0:21:500:21:54

He can't do anything. He can't even have a proper conversation.

0:21:550:21:59

Oh, you'd be surprised.

0:21:590:22:00

He's still the same man underneath it all.

0:22:020:22:04

You could read to him, watch TV together, come and cook him a meal.

0:22:070:22:11

Isn't that what you're paid to do?

0:22:110:22:13

I'll let you know when he's back home.

0:22:190:22:22

Wait.

0:22:240:22:25

I'll come.

0:22:270:22:29

So, who do we need to move out of cubicles? Er...

0:22:330:22:36

Is there anyone whose treatment doesn't...

0:22:360:22:38

Can't believe I'm going to say this.

0:22:380:22:39

Is there anyone whose treatment doesn't require any privacy?

0:22:390:22:43

OK, er...Mason Calderwood's waiting for a bed on AAU.

0:22:440:22:48

-OK, can he wait in a chair?

-No, no. He needs to be lying down.

0:22:480:22:51

ETHAN SIGHS All right.

0:22:510:22:53

Let's see if there's anyone who's on a trolley in a corridor

0:22:530:22:58

who doesn't need to be lying down. At this stage, I'll take

0:22:580:23:00

anyone who can physically sit upright.

0:23:000:23:02

-This is ridiculous.

-Yes, it is.

0:23:020:23:05

Right, here. Alan Peters. He can go in the waiting area.

0:23:060:23:10

-Yes, OK. So if we put Mr Peters in a chair...

-Mm-hm.

0:23:110:23:16

-..Mr Calderwood can take his space on the corridor.

-Mm-hm.

0:23:160:23:18

Miss Fenton can take Mr Calderwood's cubicle,

0:23:180:23:21

so now we have a space in HDC

0:23:210:23:23

we can use as an additional resus bay, yes?

0:23:230:23:26

-OK, yeah.

-Right, brilliant.

0:23:260:23:29

OK, let's go.

0:23:290:23:30

Lovely.

0:23:300:23:32

So, how do you like being a clinical lead so far?

0:23:320:23:35

Dad?

0:23:420:23:43

-What's going on?

-I'm really sorry, but we needed the cubicle.

0:23:460:23:50

Are you joking? You're just going to leave him out here in the corridor?

0:23:500:23:53

That's completely unacceptable.

0:23:530:23:55

-I thought he was going to AAU.

-We have requested a bed.

0:23:550:23:58

And how long's that going to take?

0:23:580:23:59

I'm not sure, but the minute I do, I'll be able to tell...

0:23:590:24:01

For pity's sake!

0:24:010:24:03

The man is terminally ill - you can't treat him like this.

0:24:030:24:06

-Anya.

-It's undignified.

0:24:060:24:09

I-I know it's not ideal, and...

0:24:090:24:10

I want to speak to your manager.

0:24:100:24:12

-Oh, come on, love.

-I mean it. Who's in charge around here?

0:24:120:24:15

If you come with me, I'll find you a manager.

0:24:170:24:19

I'm really sorry about this.

0:24:240:24:26

So...I brought Anya with me.

0:24:320:24:35

Should I...?

0:24:380:24:39

No, you're right. Let her get it out of her system for a minute.

0:24:400:24:45

Juice?

0:24:450:24:46

I honestly always thought that a pastry chef just made pastry.

0:24:510:24:54

I did! Should be called a pudding chef if that's what it is.

0:24:560:25:01

I think I've been to your hotel before.

0:25:010:25:03

Is it where you can have coffee and cakes in the lounge?

0:25:030:25:05

Mm! Best cake I ever had, that.

0:25:050:25:08

Maybe you made it.

0:25:080:25:09

New dessert menu from today.

0:25:110:25:13

You should come back and try it.

0:25:130:25:15

I'll make you a selection up, special.

0:25:170:25:18

I might take you up on that.

0:25:180:25:20

OK, we've got him a bed.

0:25:220:25:25

What you want - a round of applause?

0:25:250:25:26

Right, let's get him inside, please.

0:25:270:25:29

This is all absolutely true, no word of a lie.

0:25:310:25:35

Have I not told you this before?

0:25:350:25:37

Anyway, I turn around, and there he is, this nonagenarian in Speedos!

0:25:370:25:43

HE LAUGHS AND COUGHS

0:25:430:25:46

What is the polite thing to do? Do I say something?

0:25:460:25:49

Do I not say something?

0:25:490:25:51

-Excuse me!

-All right, all right.

0:25:590:26:02

OK, let me see. Let me see. Er...

0:26:020:26:05

Oh, er, er...

0:26:070:26:10

Duffy! Duffy!

0:26:100:26:12

-Duffy, I really need your help.

-Yeah? What is it?

0:26:120:26:15

Oh, all right. Sir, I need you to keep your hands just like that.

0:26:180:26:23

Ken, with me over here.

0:26:230:26:26

OK, let's get him out of here.

0:26:260:26:28

We shouldn't have swapped.

0:26:280:26:29

Rash, with us!

0:26:290:26:31

Just says it all, doesn't it,

0:26:350:26:36

if we can't even find the person in charge?

0:26:360:26:38

-Dr Hardy?

-I want to speak to someone about my father's treatment.

0:26:400:26:43

Ethan?

0:26:430:26:46

Sorry. I've cleared HTC for...

0:26:460:26:48

-Dad?

-OK, yeah, go ahead.

0:26:490:26:52

Anya!

0:26:520:26:53

OK, we're going to have to put him in the corridor for now.

0:26:560:26:59

-All right, there's space on three.

-Just for a minute, OK?

0:26:590:27:02

I'll get it sorted. Sorry.

0:27:020:27:04

Excuse me.

0:27:090:27:10

-Duffy, remind me.

-Mason Calderwood,

0:27:110:27:14

being treated for chest infection and blocked tracheostomy.

0:27:140:27:18

History of laryngeal cancer and stomach cancer,

0:27:180:27:20

for which he's had a partial gastrectomy.

0:27:200:27:22

Two weeks ago, he was meant to have a Whipple's

0:27:220:27:24

but it was deemed inoperable once they got inside.

0:27:240:27:27

His wound opened on coughing.

0:27:270:27:29

-Going down...

-How you doing, Mason?

0:27:290:27:31

OK. Get me 2.5 mg of midazolam,

0:27:340:27:37

50 mg of atracurium to relax these abdo muscles.

0:27:370:27:40

Get some fluids up now and crossmatch two units.

0:27:400:27:44

Rash, I need you. Come here.

0:27:440:27:45

Dr Masum, now!

0:27:450:27:47

-Yeah.

-OK, hold this.

0:27:470:27:50

Oh, for the love of...

0:27:500:27:51

Good. Thank you.

0:27:530:27:55

David, check his airway.

0:27:550:27:56

Thank you.

0:27:570:27:59

One in.

0:27:590:28:00

Good, drugs are in. How you doing, Mason?

0:28:010:28:03

Good, right. Rash, you and I,

0:28:040:28:06

we need to get all of this back inside his body. Are you ready?

0:28:060:28:09

-Oh, I'm so sorry, so sorry...

-No, no.

0:28:090:28:11

-Rash, Rash! Get back here.

-I'll do it.

0:28:110:28:14

-Excellent. How is he doing?

-Airways are clear.

0:28:140:28:17

Can you hold this? You ready?

0:28:190:28:21

-Mm-hm.

-Good.

0:28:210:28:22

You and I need to put this back inside his body. Are you ready?

0:28:240:28:27

Yes.

0:28:270:28:28

Here we go.

0:28:280:28:30

OK, this isn't working. We need to open up the cavity.

0:28:330:28:36

-Have you got him?

-Yeah.

0:28:360:28:37

-OK.

-There we go.

0:28:440:28:46

-MONITOR WARNING BLEEPS

-He's going into shock.

-I'm not surprised. Abdo packs, please.

0:28:460:28:50

Already soaked.

0:28:500:28:51

Apply pressure?

0:28:540:28:56

OK, that should hold him till we get him up to theatre.

0:28:560:28:58

David, tell them - HE'S the top priority.

0:28:580:29:01

You ready? Good.

0:29:010:29:03

Dr Kinsella...excellent work. Well done.

0:29:040:29:07

Oh!

0:29:090:29:11

Right, Kam, the doctors are going to take care of you now, all right?

0:29:130:29:16

And I'll nip back later to see how you're getting on.

0:29:160:29:19

Easy, fella.

0:29:190:29:21

Thanks, guys.

0:29:210:29:22

How you feeling, Kam?

0:29:260:29:27

-No.

-No?

0:29:290:29:30

Mm-hm.

0:29:320:29:33

Oh, this isn't good.

0:29:440:29:45

Have a look at this.

0:29:480:29:49

That's necrotising fasciitis.

0:29:560:29:58

Right, Kam, can you talk to me for a minute?

0:29:590:30:02

Do you know where you are?

0:30:030:30:05

Seven.

0:30:050:30:06

-OK, so, what's our next move?

-We're going to resus.

0:30:060:30:09

-There isn't any space.

-I don't care!

0:30:100:30:12

I'm not going to stand here and watch him die in the corridor.

0:30:120:30:15

Let's go to resus.

0:30:170:30:19

Time's up. Make way.

0:30:220:30:23

Let's move bay two, please.

0:30:250:30:27

Find a cubicle and stay with her, though, yeah?

0:30:270:30:30

OK, push fluids and get an arterial line in,

0:30:300:30:32

do an ABG and start a dobutamine infusion

0:30:320:30:35

and let's get some more antibiotics up, please.

0:30:350:30:37

OK, let's move.

0:30:390:30:41

-Ah!

-Thanks for making me look good.

0:30:430:30:45

-You all right?

-I'm fine.

0:30:460:30:49

You missed a treat. It was like a wrestling a massive pile of sausages

0:30:490:30:53

into a bumbag. I had my hands in him right up to there.

0:30:530:30:56

The smell - it was like rotten meat.

0:30:560:30:58

HE RETCHES

0:30:580:31:00

-You're a funny one.

-Bea, what's the matter with you?

0:31:030:31:06

That's a person you're talking about.

0:31:060:31:08

Anya, wait!

0:31:080:31:10

Right, nice one. That's his daughter.

0:31:170:31:19

Dr Hardy?

0:31:260:31:28

Thanks.

0:31:290:31:30

HE SIGHS

0:31:330:31:35

Multi-organ failure.

0:31:350:31:36

If we'd got him in here sooner, this would never have happened.

0:31:380:31:42

What was I supposed to do?

0:31:420:31:44

Seriously? What could I have done differently?

0:31:440:31:46

The ventilated patients have been transferred to St James's.

0:31:460:31:49

Finally! Right, let's get him straight up to theatre, please.

0:31:490:31:52

I'm going to let surgery know that he's on his way up.

0:31:520:31:54

And Mason Calderwood as well.

0:31:540:31:56

I am so, so sorry.

0:32:000:32:02

That will never happen again.

0:32:020:32:04

-Please, hear me out.

-Go on, then. Explain to me how funny this is.

0:32:040:32:08

I absolutely did not mean for you to hear what I said outside.

0:32:080:32:11

My father dying an unpleasant

0:32:110:32:12

and painful death is something for you to laugh about.

0:32:120:32:15

I'm so sorry - I was totally out of line.

0:32:150:32:17

I want to make a formal complaint about this doctor.

0:32:170:32:20

-Sorry?

-This hospital's a disgrace!

0:32:200:32:23

I don't know how you expect people to put up with it.

0:32:230:32:25

Yeah, try working here, mate.

0:32:250:32:27

Anya! That's enough.

0:32:270:32:28

-I know you're struggling...

-Coming through!

-..and feel guilty

0:32:280:32:31

for not doing more but that's no-one else's fault.

0:32:310:32:33

Where are you taking him?

0:32:330:32:34

Back to theatre. They'll do a saline watch to try and prevent infection,

0:32:340:32:37

then seal the wound. It shouldn't take that long,

0:32:370:32:39

if you want to come with us.

0:32:390:32:41

Not you.

0:32:410:32:42

You can go back to the house and clear out your things.

0:32:430:32:46

I'll call the agency and request a new carer

0:32:460:32:48

when I know he's being discharged.

0:32:480:32:50

And I still want to make a complaint about her.

0:32:500:32:52

I'm the big cheese - you can speak to me about that.

0:32:520:32:54

I'll see you upstairs.

0:32:540:32:56

Are you all right?

0:32:580:33:00

Yes, sorry.

0:33:010:33:03

-I shouldn't have spoken to her like that.

-No, you shouldn't.

0:33:030:33:06

But that doesn't excuse her.

0:33:060:33:07

Call the police, please. We need to

0:33:070:33:09

-report an assault on a member of staff.

-That isn't necessary.

0:33:090:33:12

No exceptions.

0:33:120:33:13

Right. Can we call them, please?

0:33:140:33:16

-I'll do it now.

-And what have you done?

0:33:160:33:18

-This is why I don't like leaving my office.

-Police, please.

0:33:200:33:23

-I'd like to report an assault.

-I'll speak to you later.

0:33:230:33:26

Yeah, it's Holby ED.

0:33:260:33:27

OK. Does someone want to explain to me

0:33:290:33:31

what the hell's been going on, please?

0:33:310:33:34

Hmm? You were meant to be keeping an eye on her.

0:33:340:33:36

Alic...

0:33:380:33:40

My office, the end of your shift.

0:33:400:33:42

You know you'll have to write

0:33:590:34:01

a statement for the police when they get here?

0:34:010:34:03

-And one for the file.

-Yes, I know the procedure.

0:34:050:34:07

Yeah.

0:34:110:34:12

Sorry, OK?

0:34:150:34:17

Today has been...

0:34:170:34:18

-..difficult.

-Yeah?

0:34:190:34:21

You should tell that to Kam. Oh, no, wait. You can't.

0:34:210:34:23

-If I could have just...

-No.

0:34:270:34:30

-It's not your fault.

-I know it isn't!

0:34:300:34:33

It's not mine, either.

0:34:330:34:35

I told you we needed more staff.

0:34:350:34:37

That wouldn't have helped him, would it?

0:34:380:34:40

-Tomorrow will be better.

-You don't know that.

0:34:480:34:50

-I have to believe it.

-Oh, why?

0:34:500:34:53

Because now you've got your swanky new job,

0:34:530:34:55

you have to toe the management line?

0:34:550:34:57

Put on a suit and smile and tell everyone,

0:34:570:34:58

"Oh, everything's going to be OK."

0:34:580:35:00

That's unfair.

0:35:020:35:03

I thought you'd be different.

0:35:050:35:06

Nothing's ever going to change, is it?

0:35:090:35:11

I'm doing my best.

0:35:130:35:15

Yeah, well, it's not good enough.

0:35:150:35:17

Is she still here?

0:35:370:35:39

Yeah. She won't go till she knows he's OK.

0:35:400:35:42

She's in love with him, Bea.

0:35:450:35:46

Yeah.

0:35:490:35:51

Hi.

0:36:030:36:04

Do you mind if I...?

0:36:040:36:06

I cannot apologise enough for what happened earlier.

0:36:130:36:18

There is no excuse - I won't contest a complaint.

0:36:180:36:20

I'm not condoning her behaviour.

0:36:230:36:24

But she was only six when her mum died.

0:36:270:36:29

Mason didn't cope - worked all hours.

0:36:310:36:33

So, basically, she was brought up by a string of nannies.

0:36:350:36:38

And I think...

0:36:420:36:43

..that emotional distance between them...

0:36:450:36:47

..this fear of losing another parent...

0:36:490:36:52

I don't know.

0:36:540:36:56

She's not handling any of this very well.

0:36:570:37:00

I made it a hundred times worse.

0:37:000:37:02

That description you gave will stay with her forever.

0:37:050:37:09

That's what she'll remember of her dad's last days.

0:37:100:37:13

Not the...

0:37:160:37:18

The kind,

0:37:190:37:21

funny, generous,

0:37:210:37:24

wonderful...

0:37:240:37:25

Sorry.

0:37:290:37:30

Unprofessional.

0:37:320:37:34

Look who you're talking to.

0:37:340:37:35

You can't help who you fall in love with.

0:37:440:37:46

There's nothing inappropriate.

0:37:480:37:49

-No, sure.

-And I've never acted on it.

0:37:490:37:51

It just...crept up on me...

0:37:550:37:58

-..over the years.

-He feels the same way about you, right?

0:37:580:38:02

I don't know.

0:38:040:38:05

Sometimes, I think...

0:38:080:38:09

But we've never acknowledged.

0:38:110:38:12

Maybe it's time that you did.

0:38:150:38:17

I'll call up.

0:38:200:38:23

I'll see if he's out of theatre.

0:38:230:38:24

We just heard.

0:38:380:38:39

I told him it was his own fault.

0:38:410:38:43

-I only meant about the...

-He would have known that.

0:38:430:38:46

Are you all right?

0:38:460:38:47

No.

0:38:520:38:53

This was avoidable.

0:38:550:38:56

He's only 22 and he's on life support

0:38:580:39:00

in one of the richest countries in the world,

0:39:000:39:02

with one of the best health systems in the world.

0:39:020:39:04

What has to happen before people start listening?

0:39:070:39:09

Before something gets done?

0:39:110:39:12

Hey.

0:39:210:39:23

I heard what happened.

0:39:320:39:33

You did everything you could.

0:39:380:39:40

Sometimes, the system just can't take the numbers.

0:39:420:39:44

PHONE RINGS

0:39:480:39:50

It's the Time Garden.

0:39:520:39:53

Tried to book us a table for tonight.

0:39:570:39:59

I love the Time Garden!

0:40:010:40:04

I know.

0:40:040:40:05

Don't fancy it?

0:40:090:40:10

Not really.

0:40:130:40:14

-Do you mind?

-Course not!

0:40:160:40:18

Fish and chips in front of the telly?

0:40:240:40:26

Sounds perfect.

0:40:290:40:30

Love you.

0:40:360:40:37

Love you, too.

0:40:400:40:41

Go in.

0:40:500:40:51

Hey, you.

0:41:050:41:07

Trouble.

0:41:080:41:09

There's something I want to say to you.

0:41:140:41:17

I should have said it a long time ago.

0:41:170:41:19

I...

0:41:190:41:21

I...love...

0:41:230:41:27

..you, too.

0:41:270:41:30

I love you!

0:41:320:41:34

I love you so much!

0:41:340:41:37

You can't go in there yet.

0:41:440:41:46

-They said he was awake.

-He just needs a few minutes.

0:41:460:41:48

What's going on?

0:41:480:41:50

-Get out of my way.

-Please.

0:41:500:41:53

Just let them say their goodbyes.

0:41:530:41:54

Do you really want him to face his last days without her?

0:42:030:42:06

She's been by his side through all of this.

0:42:060:42:08

Don't take them away from each other now.

0:42:100:42:12

I was just leaving.

0:42:280:42:30

You don't have to.

0:42:300:42:31

You can stay...

0:42:360:42:37

..if you want.

0:42:380:42:39

Hi. How are you doing?

0:43:010:43:04

Have you seen Ethan yet?

0:43:070:43:08

Just gearing myself up to go and face the music.

0:43:090:43:12

What'll happen to her - Anya Calderwood?

0:43:130:43:16

Er...I guess the police will decide whether they want to charge her not.

0:43:160:43:19

I'm sure they'll take everything into consideration.

0:43:210:43:24

This is not what I thought it would be like, working in the ED.

0:43:260:43:30

-No.

-This is where you tell me that it gets easier.

0:43:320:43:35

Er...it doesn't.

0:43:370:43:40

Right. Well, good pep talk.

0:43:400:43:43

Yeah.

0:43:430:43:44

I just want to be good at this.

0:43:470:43:48

I think that's all any of us want.

0:43:500:43:52

Right, see you.

0:43:560:43:57

Mrs Beauchamp, it's Ethan.

0:44:140:44:16

Er, sorry...

0:44:160:44:18

Anyway, you probably know what's been happening here,

0:44:190:44:21

which is why you were calling.

0:44:210:44:22

Er...just to let you know, things are moving now and, er,

0:44:240:44:28

I think we're out of the woods.

0:44:280:44:30

OK, I'll see you soon.

0:44:300:44:31

Do you want to come in? Close the door.

0:44:330:44:35

I'm sorry. I know I messed up...

0:44:440:44:46

..badly. I...

0:44:460:44:48

I got carried away.

0:44:480:44:50

I don't want to lose my job.

0:44:500:44:51

You're not going to lose your job.

0:44:520:44:54

But what about the complaint? Is it going to go on my file?

0:44:550:44:58

-There isn't going to be a complaint.

-What?

0:44:580:45:01

Luckily for you, Miss Calderwood doesn't want to pursue it.

0:45:010:45:04

But I can't just ignore what happened.

0:45:050:45:07

No, sure.

0:45:070:45:09

From now on, I'll be your clinical supervisor, OK?

0:45:090:45:13

I'll keep an eye on your work. I'll oversee your portfolio.

0:45:130:45:16

Really?

0:45:160:45:18

-That's amazing.

-It's not meant to be a reward.

0:45:180:45:21

Yeah, no.

0:45:210:45:22

That's all.

0:45:230:45:24

Dr Gardner said that you were excellent in HDC earlier.

0:45:280:45:31

But you know that's only half the job.

0:45:330:45:35

-I understand.

-Please don't let me down.

-I won't.

0:45:350:45:38

Thank you.

0:45:510:45:53

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