Episode 23 Casualty


Episode 23

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Transcript


LineFromTo

-What's going on? It's chaos.

-Yeah.

-Who's in charge?

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-I am.

-No, I mean clinical lead.

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Yes, that's me. I'm acting clinical lead.

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If he dies on my truck cos we couldn't get him in the doors...

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He won't! What has to happen before people start listening?

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You. You hit me.

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I didn't mean to hurt you.

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You've got every right to know and I have no right to keep it from you.

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I'm your dad.

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Blake Gardener, I'm arresting you on suspicion of GBH.

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You do not have to say anything...

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GBH? This was a fight between two kids.

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Mum!

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-Officer, officer!

-Mum!

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Mum!

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Good morning.

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Will the defendant please rise?

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Blake Gardner,

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you have been charged with the offence of grievous bodily harm.

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This crime was committed against Mr Miles Caine Ashworth, contrary

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to Section 20 of the Offences Against The Person Act, 1861.

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To this charge, how do you plead? Guilty, or not guilty?

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Guilty.

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We should go.

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The sooner we get this over with, the better.

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For all of us.

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Actually...there's something I want to talk to you about.

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Miles? Miles?

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OK, it's under his head.

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You're doing well.

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Now, it's likely he can hear you, so talk to him. Calm him.

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What?

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Tell him you'll stay with him.

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Miles...

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The ambulance is almost with you.

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Just try and keep him calm.

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I can't do this.

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Mrs Ashworth? Mrs Ashworth?

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Er... Yes.

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Yes, I-I'm still here.

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Oh!

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Ahem!

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Yeah.

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Hi.

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Hey, where are you going?

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Oh! I didn't want to wake you.

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Plus, this is much less embarrassing.

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It's got that whole Romeo and Juliet vibe going on, yeah?

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Come back up. I'll do us breakfast.

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Nah, I'm on a shift.

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It was fun. See you around?

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Shall I call you?

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MUSIC BLARES

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OK, guys.

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Hi. What have we got?

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Miles Ashworth, 17.

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He collapsed at home from an apparent seizure.

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Why is this happening to him?

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Hi, there, Miles.

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He was conscious on arrival, although still lethargic.

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Tachy at 140, sats 94, resps 10, BP is 180/100.

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We've put a line in just in case, but we haven't given him any meds.

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-OK.

-We brought him in two weeks ago with a head injury,

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but his records show that he was given the all-clear in the ED. Is that right?

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Uh, yes. I believe so.

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OK. Right, we'll get him booked in.

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Thanks. OK, Miles, I'm Dr Hardy.

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Do you remember what you were doing before the seizure?

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Who knows?

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I was getting ready.

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We're supposed to be in court.

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OK. Let's get a full set of bloods, ECG

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and we'll send him for a head CT, as well.

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This is down to the assault, isn't it?

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I won't know anything until we've got the scans back.

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I thought this would be over with.

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What has that boy done to him?

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I just wanted to say tha...

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That I'm sorry for what I did.

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And I'm sorry for the hurt and worry that I caused Miles and his family.

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And for my failure to own up to my actions sooner.

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And I, er...

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Please continue, Blake.

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I, um...

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RINGING

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Hello?

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Alicia, it's me. What is going on?

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He was brought in about 20 minutes ago, after a seizure.

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Ethan's taking him for a CT scan now.

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Er...

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OK, um...

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I'm coming in.

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No, Elle, I don't think that's a very good idea.

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Elle?

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Jamie?

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Elle, you really shouldn't be here.

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If this is at all connected to the attack,

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someone has to warn Blake's solicitor.

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That's Blake's mum.

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I don't want her anywhere near me.

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My son is...

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Mrs Ashworth, I'm Dr Gardener.

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I know who you are.

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I'm sorry Miles is back here.

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Sorry for who? Your son?

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I understand you're upset,

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but I want Miles back in good health, just the same as you.

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Why are you even here?

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You want to cover it up. All of you do.

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I can assure you that is not the case.

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That boy in there is the victim here.

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Not your son. Not you.

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That is not true.

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He only lost his father a year ago and we have been through hell!

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And now...

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We are trying to move on.

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And if his injuries stop us doing that...

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someone will pay, I promise you.

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RINGING

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Oh!

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Hi, you've reached Elle Gardener, please leave a message.

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Elle, where are you?

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They've decided to call character witnesses. You're supposed to be here for Blake...

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Just come back.

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HE SIGHS

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Wow. You're still alive, then?

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So far.

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Has anyone noticed?

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What, that you're still wearing the same clothes as yesterday? Nah!

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Can you just cover for me while I go and change?

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Nice of you to join us, Dr Kinsella.

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Dr Hardy, I'm so sorry.

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It's actually... It's a funny story, really...

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Well, if I had time, I'm sure I'd enjoy it.

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I'm not going to have a chance to check in on you today, so you're both on minors, OK?

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Oh. OK.

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It won't always be like this, I hope,

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but if you can get changed, let's get to work.

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OK, I have the results of Miles' CT scan.

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The good news is, there's no sign of a bleed, all right?

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It's a similar contusion to what he had before.

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So it was caused by the previous injury?

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I'd rather not jump to conclusions,

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but whatever the cause, we'll get to the bottom of it, OK?

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I would like to keep him under observation for now.

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For how long?

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This is good, Mum.

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I mean, it'll help us win.

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Win?

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I think it's best if we get some more information before speaking to the courts.

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We'll wait.

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SHE GROANS

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I have called an ambulance.

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They're going to be here any minute.

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I have to go now.

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Don't go, don't go!

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I'm so thirsty.

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Will you get me some water, please?

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Oh.

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Oh, you're a good boy, Jamie.

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Stop calling me that, I'm not Jamie.

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SIRENS

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That's them now. They're going to look after you, OK?

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-No, no, no!

-Shh, shh, don't be scared.

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-Don't leave me!

-You'll be OK.

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No!

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Hello? Paramedics!

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Hey, mate. Did you call for an ambulance?

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Uh, yeah.

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Right, do you want to let us in?

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Yeah, one sec.

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She's in here.

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Can you show us through?

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Yeah, yeah.

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Hello, love. Can you tell me your name?

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It's Nora. Hunton.

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She's my nan.

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I just came to visit...

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..and I just found her like this.

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Looks like she's been here for a while.

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OK, Mrs Hunton, my name's Sam, this is Iain, we're the paramedics.

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Have you had a fall?

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No, no, I don't want you.

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They're just... They're just here to help you, Nan.

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Right, we're just going to take a quick look at you, if that's all right?

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OK, keep your head nice and still for me.

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Does it hurt where I'm pressing?

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No.

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No apparent head injury and the neck's clear.

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Pulse is 110. Stats 92%.

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I'm just going to give you a quick check over.

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-Argh!

-Oh, yeah. OK, we're looking at a broken hip.

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-I'll get the carry trolley.

-Yeah.

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OK. Try and breathe nice and deeply for me.

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Try and breathe normally.

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There you go, Nora.

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What did you say your name was?

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It's Jamie.

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OK, Jamie. Has your nan got dementia?

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I've not seen her in a while.

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OK, well, she could just be confused.

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She's pretty dehydrated.

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I'm going to get some IV fluids into her.

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OK. I'll be back in a second, yeah?

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OK. We're going to get you nice and comfortable, Nora.

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You all right, pal?

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Listen, there's room on the van,

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so you're going to stay with your nan, yeah?

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Yeah.

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May it please the court, with your leave, I would like a moment to

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confer with my client before we call our character witness to the stand.

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Where is she?

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We don't know. I've left messages.

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I could ask for a quick adjournment while we try to locate her,

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but we need a statement of Blake's good character.

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It'll be very tough to proceed without it.

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Can't Jacob do it?

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Oh, Blake, I don't know about that.

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Look, your mum already knows what to say.

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But she's not here, is she?

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It doesn't have to be his mother, just someone close to him. It could work.

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OK.

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Ma'am, I'm afraid my client's mother has had to leave on urgent business,

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but Mr Jacob Masters has offered to step in as a character witness.

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And what's his relation to the defendant?

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I'm his father.

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OK, Nora, you take it nice and easy now, OK?

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We've given her 1 gram of IV paracetamol, 250ml of sodium chloride

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for the dehydration, but she's still a bit confused.

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Looks like she's been on the floor for a few days.

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BM is OK and she's FAST negative.

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No sign of intoxication, so I suspect some form of dementia.

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All right, Nora, darling, we're going to get you cleaned up now, OK?

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I'll contact the GP about her notes.

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Thanks, Charlie.

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Duffy, can we get a full set of bloods, an ECG and a VBG?

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We'll take her for an X-ray

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and a fascia iliac block for that hip if it's fractured.

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Oh, could you get me a urinary catheter prepped?

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-Yeah, sure.

-Thanks.

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Jamie, is it?

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Do you know if your gran's on any medication at all?

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I'm sure she's got half a chemist in her bathroom, but anything in particular you know of?

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And she lives alone? She have anyone to help besides you? Any home help?

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-I don't know.

-Well, what about your mum or dad?

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I said I don't know. I don't really talk to them.

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I don't even live in Holby.

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Is it me, or is that lad acting a bit off?

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How'd you mean?

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He was acting well strange back at the house.

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And what's with that kit bag?

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He's just visiting his nan. Maybe he packed an overnight bag.

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Just to be clear, Mr Masters, you don't

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actually live with Blake or his mother?

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Er, no.

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No, I never did.

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But you've had ongoing contact with your son?

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Well, I, um...

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We didn't...

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I didn't know he was mine, until recently.

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How recently?

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Just before Christmas.

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Ma'am, this is not an adequate amount of time to establish

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a relationship.

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All right, I didn't know that Blake was my son but I've known him his whole life.

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He started walking when he was nine months.

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His favourite toy was a Snoopy dog. He couldn't say it, so he called it Spoo.

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He's always been a good kid.

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A funny kid.

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And challenging in the best way because he's smart,

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and his academic records prove that...

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I guess you could say that Blake's a chip off the old block.

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When this is over, and we've won...

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..we can get back to normal.

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You and me.

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Don't think about that now.

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So like your father.

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I miss him, too.

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This morning, I wanted to talk to you about something.

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With the issues at school

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and the year we've had,

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I was speaking to your uncle about you moving to

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Edwalton College and maybe staying with them for while.

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No.

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Just think about it.

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No, Mum. I'm staying here.

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Why do you think I'd be better off somewhere else?

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Do you mind? This is a private conversation.

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OK, let's try and stay calm.

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Mum, I asked you a question, what...

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Mu... Mu...

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What's wrong with him?

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Miles?

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What's happened? Elle.

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He's lost mobility on the left side.

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How are you feeling, Miles?

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W-weak.

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BP 190/111.

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Whereabouts do you feel weak? Is there a particular part of your body?

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Is it... Left... Left side.

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Might be a bleed on a brain.

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David can you see if CT are free, please?

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-Sure.

-But he was fine, you said he was fine!

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It's possible that the seizures caused his blood pressure to

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go up and made him haemorrhage.

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CT are ready to take him now.

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OK, let's go.

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Mrs Ashworth.

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Linda!

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Bea, just two secs, there's someone's here

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-wants to speak to you.

-Who?

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You seem surprised. You do know I work just upstairs, right?

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I do now.

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Just assumed you were the type to hang out around hospital pubs.

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In uniform?

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Works for me.

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They don't know yet but I'm not really a doctor.

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Anyway, I've got a tonne on,

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so... I'll see you around. Take care, yeah?

0:17:100:17:12

Do you fancy a glass of wine after work?

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Listen, I'm not really up for anything...

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Wouldn't mean we're engaged. Just wine.

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Dr Kinsella.

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On my way.

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Um... Sure.

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Why not?

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I get off at 5.15.

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By the coffee cart?

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Sure.

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Would you stop watching that guy? We've got work to do.

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All right, Nora, we're just going to pop you up to X-ray.

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What is it?

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Where's Jamie? Jamie!

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I think it's best if you come with her.

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OK?

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All right.

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Nan, it's all right, Nan, I'm here, Nan. Jamie.

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No, Iain.

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No. No, no!

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Iain, just...no! Just...

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Oh, well, what do you know? Jewellery.

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Antique clock.

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Mobile phone. Ah! Look, lady's purse.

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Nora Hunton.

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That could mean anything.

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And this?

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Yeah, there.

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It's a clear bleed over the original contusion.

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So it is linked to the assault.

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It's highly likely, yes.

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He could have taken something that's aggravated the fits.

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We know Miles has smoked cannabis in the past which led to the seizures...

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What? My son is not on drugs.

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I'm informing the court, right now.

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-Elle.

-The disorientation, the elevated heart rate, the anxiety...

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Ethan, please run a urine test to rule out drugs use.

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Please, for me.

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I'll see what I can do.

0:19:070:19:09

How... How long do I have to...

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Miles.

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It's just another minute, you're doing really well, OK?

0:19:130:19:16

Miles?

0:19:160:19:18

He's fitting. Can we get him out of there, please?

0:19:180:19:20

I mean, Blake knows better than to settle things with his fists.

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But everyone has a breaking point.

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What with being bullied at his new school, plus the family upheaval...

0:19:300:19:34

I mean, that's lot for a 17-year-old to deal with.

0:19:340:19:37

Ma'am, I am not saying it's an excuse...

0:19:390:19:43

..but it's a reason...

0:19:440:19:45

..Blake...

0:19:490:19:50

..my son...

0:19:520:19:53

..deserves a second chance.

0:19:550:19:57

Thank you, Mr Masters.

0:19:570:20:00

I have just been informed that the victim, Miles Ashworth,

0:20:110:20:14

collapsed at his home this morning.

0:20:140:20:16

-What?

-He has been taken to the Emergency Department.

0:20:160:20:19

I'd like to request an adjournment until we can establish Miles'

0:20:190:20:23

prognosis and to see if his poor health is directly

0:20:230:20:26

related to the injuries inflicted by the defendant.

0:20:260:20:29

Agreed.

0:20:290:20:30

The court is adjourned until 3pm.

0:20:300:20:32

I shall retire.

0:20:320:20:33

That's why Mum left, isn't it?

0:20:360:20:38

Let's go and get some coffee.

0:20:380:20:40

RINGING

0:20:440:20:46

Hello?

0:20:490:20:50

Yeah, speaking.

0:20:500:20:52

I can't come now.

0:20:530:20:55

I'm in work.

0:20:550:20:56

I'll be there as soon as I can, OK?

0:20:580:21:01

Thanks.

0:21:010:21:02

Oh! There you are. Everything all right?

0:21:100:21:12

Yeah. Well, no, actually.

0:21:120:21:15

It's Nora.

0:21:170:21:18

Look.

0:21:180:21:20

-Oh!

-Someone's got to tell Jamie.

0:21:200:21:22

Yeah.

0:21:220:21:24

Look, Bea, if you like, I could talk to him.

0:21:250:21:28

I've done this plenty of times, so if you don't feel up to it...

0:21:280:21:31

No.

0:21:310:21:32

No, just give me a second.

0:21:320:21:34

I'll do it.

0:21:340:21:35

We've got him on a Phenytonin infusion to control the seizures.

0:21:350:21:38

It's working for now, but I'm concerned about his fitting.

0:21:380:21:42

Well, I'd say there's still time to continue as you are,

0:21:420:21:44

controlling the bleed with pro-coagulants,

0:21:440:21:46

see if there's a natural reduction.

0:21:460:21:48

But if there's any signs of a raised ICP,

0:21:480:21:50

then I'd start a mannitol infusion and I'd recommend draining

0:21:500:21:53

the haematoma surgically as soon as possible.

0:21:530:21:55

But I can keep my team on standby in the meantime.

0:21:550:21:58

Jacob.

0:21:580:21:59

Please...tell me Miles is OK.

0:21:590:22:03

No, he's not.

0:22:030:22:05

He's not OK.

0:22:050:22:07

What does that mean?

0:22:070:22:08

Surgery, possibly.

0:22:090:22:11

The neurosurgeon's with him now.

0:22:110:22:14

What's happening with you?

0:22:140:22:16

Adjourned, until they know more.

0:22:160:22:17

Is Blake...

0:22:170:22:19

Um...

0:22:220:22:24

Just tell him I'm sorry I'm not there.

0:22:240:22:27

He gets it.

0:22:290:22:31

Just do what you need to do.

0:22:310:22:33

Keep me posted, all right?

0:22:330:22:35

Yeah.

0:22:350:22:37

Thanks, Jacob.

0:22:370:22:38

Jamie.

0:22:480:22:50

Jamie.

0:22:500:22:51

I have something to tell you.

0:22:510:22:53

Do you want to sit down or something?

0:22:530:22:55

Nah. What's going on?

0:22:550:22:58

We have your gran's X-ray results,

0:22:580:23:00

and we've found what we believe to be lytic lesions.

0:23:000:23:04

You see these dark patches here?

0:23:040:23:06

What is that?

0:23:060:23:07

It's cancer, I'm afraid.

0:23:070:23:09

I thought she just broke her hip.

0:23:100:23:12

She broke it cos it's in her bones.

0:23:120:23:15

And it's also spread to her liver and pancreas.

0:23:150:23:18

It's possible she didn't know she was ill.

0:23:180:23:19

It's common in cases of dementia.

0:23:190:23:21

I'm so sorry, Jamie.

0:23:210:23:24

Did your nan ever talk to you about what her end-of-life wishes might be?

0:23:240:23:28

Look, as her next of kin, you can ask us to intervene medically,

0:23:280:23:32

but you should know it's unlikely she'd survive treatment.

0:23:320:23:35

Just do what you think is best.

0:23:370:23:39

We'll make sure she doesn't suffer.

0:23:390:23:41

And we'll try and get her a bed upstairs, OK?

0:23:410:23:44

Jamie...

0:23:480:23:49

I'm here, I'm here, Nan.

0:23:510:23:54

How are you, Jamie? You fell off your bicycle.

0:23:540:23:58

Those boys were chasing you.

0:24:000:24:03

You were bleeding.

0:24:040:24:06

I'm all right, Nan.

0:24:060:24:08

You see, I'm better now.

0:24:080:24:10

How's he doing?

0:24:340:24:36

No improvement, I'm afraid.

0:24:360:24:38

OK.

0:24:390:24:41

Have you got a second? Cos we've got a bit of a problem.

0:24:430:24:46

Now, there's no easy way to say this, but Jamie is not Jamie.

0:24:460:24:51

Well, who is he?

0:24:510:24:52

We don't actually know,

0:24:520:24:53

but his bag was full of what appeared to be stolen property,

0:24:530:24:56

including Nora's purse and a crowbar,

0:24:560:25:00

which suggests that he'd broken into Nora's place when he found her.

0:25:000:25:03

I say all that because her GP is now insisting that she has no living relatives.

0:25:030:25:08

I can't believe this.

0:25:080:25:10

The police are on their way.

0:25:100:25:11

But we have to keep him away from her.

0:25:110:25:13

Wait, he did call the ambulance for her, didn't he?

0:25:130:25:15

Yes, but we don't...

0:25:150:25:16

Look, the only thing that matters here is Nora.

0:25:160:25:19

OK.

0:25:190:25:20

How're you feeling, Miles?

0:25:250:25:27

Shouldn't you be with your own son?

0:25:270:25:29

Yes, I should.

0:25:290:25:30

But I can't be in two places at once. I'm trying to help.

0:25:300:25:33

Help? I think that's the last thing on your mind.

0:25:330:25:35

Please, ladies, can we keep it civil?

0:25:350:25:37

If you were any kind of mother, then Miles wouldn't have been injured in the first place.

0:25:370:25:40

That is not fair.

0:25:400:25:41

-He's fitting again.

-Miles!

-Louise, get me 375 mg thiopental and 40 mg of rocuronium, please.

0:25:410:25:47

He's going to need to be intubated. The neurosurgeons will want to take him straight to theatre.

0:25:470:25:51

Let's get him ready for transfer as soon as he's tubed.

0:25:510:25:53

No! No, I don't want you touching him!

0:25:530:25:55

I am trying to help!

0:25:550:25:56

-Got it?

-Yep.

0:25:560:25:58

It's going to be OK.

0:26:010:26:03

There, that should stop the fitting.

0:26:070:26:10

There we go, there we go.

0:26:100:26:13

Good. Laryngoscope, please.

0:26:140:26:15

Crichoid on.

0:26:150:26:17

I can see the cords.

0:26:210:26:22

Size 8 tube, please.

0:26:220:26:24

There we go, and I'm in.

0:26:270:26:30

-Yep?

-Yep.

0:26:320:26:33

Good bilarteral air entry.

0:26:400:26:42

Inflate the cuff. Crichoid off.

0:26:420:26:44

Secure the tube, please.

0:26:440:26:45

David, call neurosurgery, tell them he needs to go straight to theatre,

0:26:450:26:49

then start a mannitol infusion. Let's get him ready for transfer.

0:26:490:26:52

Where's Ethan?

0:26:520:26:54

I don't know.

0:26:540:26:56

Elle, step back. You know you shouldn't be on this.

0:26:590:27:03

Neurosurgery are ready to take him.

0:27:100:27:12

If he goes in to surgery, does that... Does that mean he could die?

0:27:140:27:17

There is a small risk of that.

0:27:200:27:22

But that's not going to happen, OK? Blake, listen to me...

0:27:220:27:25

I'd be a murderer.

0:27:250:27:26

-He's not going to die.

-You don't know that!

0:27:260:27:28

Here's what I do know. You've got your mum,

0:27:280:27:30

you've got your brothers, and you've got me.

0:27:300:27:32

You are not going through this alone.

0:27:320:27:34

We're with you, every step of the way.

0:27:340:27:37

We love you.

0:27:370:27:39

It'll be OK, son.

0:27:440:27:46

Miles started fitting again.

0:27:460:27:48

Elle had to intubate.

0:27:480:27:50

Elle?

0:27:500:27:51

So he's been taken to theatre.

0:27:510:27:52

OK, thank you.

0:27:520:27:54

Where were you?

0:27:540:27:55

I do have other patients.

0:27:560:27:57

The beds blocked upstairs are backing everything up down here.

0:27:570:28:01

We can't afford another Kam situation, Ethan, we can't.

0:28:010:28:04

Short of diverting patients to

0:28:040:28:05

St James, there's nothing I can do, so we're just going to have to cope.

0:28:050:28:08

Dr Hardy, I have an elderly dementia patient in cubicles, and she's terminal.

0:28:080:28:12

I just need to find her a bed.

0:28:120:28:15

OK, no-one should have to die in the ED,

0:28:150:28:17

least of all an old lady who is scared and confused.

0:28:170:28:19

Yes, I agree.

0:28:190:28:21

If we're at full capacity there's nothing I can do, OK? I'm sorry.

0:28:210:28:25

We have to come back tomorrow now for sentencing.

0:28:310:28:33

Is Miles in theatre yet?

0:28:330:28:35

They're just getting him prepped. I'm going to observe, I just wanted to check in with Blake first.

0:28:350:28:39

Can I talk to him?

0:28:390:28:41

Sure.

0:28:410:28:42

It's your mum.

0:28:430:28:45

Hi.

0:28:480:28:49

Hi, sweetie.

0:28:490:28:50

I'm really sorry about today.

0:28:500:28:53

It's fine. Jacob stood in.

0:28:530:28:56

He told them about Spoo.

0:28:560:28:58

Not sure how I feel about that.

0:28:580:29:00

Um... Listen, sweetheart, I, er... I need to be here a bit longer,

0:29:000:29:05

but I will be back tonight, I promise.

0:29:050:29:08

Are you happy to stay with Jacob until I can pick you up?

0:29:080:29:12

Yeah. I mean, I could stay at his.

0:29:120:29:16

Would he be all right with that?

0:29:160:29:19

He said yeah.

0:29:190:29:21

OK, if that's what you want.

0:29:210:29:24

Blake, you know you're loved, don't you?

0:29:240:29:28

You, too.

0:29:290:29:30

Bye.

0:29:300:29:32

Bye.

0:29:320:29:33

Hey... Have you ever made a risotto?

0:29:350:29:39

What's that, the rice thing?

0:29:390:29:41

Well, it just so happens to be a speciality of mine.

0:29:410:29:45

And one that never fails to impress the ladies.

0:29:450:29:48

I think it's high time I taught that recipe to my son, yeah?

0:29:480:29:53

-Right.

-You up for it?

0:29:530:29:54

-Yeah.

-Sure?

0:29:540:29:56

Yeah.

0:29:560:29:57

How is she?

0:30:010:30:03

Not long now.

0:30:050:30:07

Did Charlie talk to you?

0:30:070:30:08

Oh, yeah.

0:30:080:30:10

Maybe I should go.

0:30:120:30:14

Go? Why would you go? Your nan is dying.

0:30:140:30:16

See, I don't like things like this.

0:30:160:30:19

She don't even know I'm here.

0:30:190:30:21

You are going to stay and hold her hand until the end, do you understand me?

0:30:220:30:26

The police are outside.

0:30:270:30:28

I asked them to wait.

0:30:280:30:30

So hold her hand.

0:30:300:30:32

Jamie was her son who died.

0:30:330:30:35

At least do one good thing with your life.

0:30:350:30:37

I didn't mean for this to happen,

0:30:380:30:40

you know?

0:30:400:30:42

I was desperate.

0:30:420:30:44

It's all right, Mum.

0:30:500:30:52

It's me, it's Jamie.

0:30:540:30:56

I'm here.

0:30:570:30:59

I'm right here with you, Mum.

0:30:590:31:00

It's your boy, Jamie. I'm right here.

0:31:000:31:04

Time of death.

0:31:330:31:35

15.27.

0:31:350:31:38

Goodbye, Nora.

0:31:400:31:42

Can you come with us, please, sir? A few questions I need to ask you.

0:31:520:31:55

Yes, he's under.

0:31:580:32:00

Right. Scalpel, please.

0:32:000:32:02

Making the incision.

0:32:060:32:08

Look, I'm sorry about your patient today.

0:32:330:32:36

Hey. Can't save 'em all, right?

0:32:360:32:38

You want some company?

0:32:400:32:42

Nah, I've actually got, um...

0:32:420:32:44

I actually just want an early night.

0:32:460:32:48

I'll see you tomorrow, yeah?

0:32:480:32:50

Hey, it's Susie, right?

0:32:560:32:59

She's gone, hasn't she?

0:33:000:33:02

So that's what THAT feels like.

0:33:050:33:07

Look, I'm sorry about Bea.

0:33:120:33:14

She's a bit all over the place.

0:33:150:33:17

I mean, she's lovely, but she doesn't really do serious.

0:33:170:33:22

It's fine.

0:33:220:33:23

To be honest, I only came out a year ago,

0:33:240:33:28

and it sounds stupid but I just didn't want my first time to be

0:33:280:33:32

a one-night stand.

0:33:320:33:33

Even if it means we're just mates.

0:33:340:33:37

Anyway, tell her...thanks a lot.

0:33:370:33:40

There's another bleed.

0:33:510:33:52

Looks like an AVM, I must've nicked it.

0:33:520:33:54

All right, let's mix him some local haemostatic agent, quickly, please.

0:33:540:33:57

-We have to wait for it to thicken before we can inject it and stop the bleed.

-Why is this happening?

0:33:570:34:01

He has an arteriovenous malformation, it's a congenital condition.

0:34:010:34:05

Asymptomatic in most cases, and his is small, which is why we missed it on the CT.

0:34:050:34:08

Thank you.

0:34:080:34:09

OK, that's good.

0:34:120:34:13

You've basically put a whole bottle into this?

0:34:160:34:20

Apart from this bit.

0:34:200:34:21

Here.

0:34:350:34:36

Don't you dare tell your mum now.

0:34:370:34:39

Even if Miles survives the surgery, it could still ruin his life, couldn't it?

0:34:460:34:49

He could have permanent brain damage.

0:34:490:34:53

I mean, what if he can't do anything for himself any more?

0:34:530:34:55

How could I live with that?

0:34:570:34:59

That's the bit that scares me the most.

0:34:590:35:02

More than being sent down for it.

0:35:030:35:05

But you know what? Feeling guilty is no bad thing.

0:35:070:35:10

It just reminds you of the fact that you're one of the good guys.

0:35:120:35:16

All right?

0:35:180:35:19

Now get back to stirring.

0:35:200:35:22

Right, we'll keep him sedated overnight and monitor his blood pressure.

0:35:240:35:28

The signs are good. In the morning, we'll do a full neurological exam,

0:35:280:35:31

-just to be sure. OK? You got any problems, give me a call.

-Thanks.

0:35:310:35:35

I could get you a blanket and some pillows, if you'd like.

0:35:480:35:51

I can't do this.

0:35:510:35:52

-Hey, hey, hey.

-I can't do this.

0:35:520:35:54

Just... Just sit down.

0:35:540:35:56

My life...

0:36:070:36:08

It was in pieces when Roger died.

0:36:090:36:11

It was bowel cancer.

0:36:140:36:16

Four weeks.

0:36:160:36:17

Just like that, he's gone...

0:36:170:36:19

I'm so sorry.

0:36:200:36:22

I didn't have time...

0:36:220:36:25

..to even begin to process life without him.

0:36:250:36:28

And ever since, I...

0:36:300:36:31

..I look at Miles...and I...and I see him.

0:36:330:36:37

And it kills me.

0:36:370:36:39

It's...

0:36:390:36:41

How can you resent your own son?

0:36:470:36:49

There are people you can talk to.

0:36:490:36:52

Professionals, they can help you, give you the support you need.

0:36:520:36:56

What I need is to go... Is to go away.

0:37:000:37:04

Just for a while.

0:37:040:37:05

My brother will be here for Miles in the morning.

0:37:080:37:12

Toronto? But that's for tonight? Linda, you can't, he needs you.

0:37:120:37:17

You're his mum!

0:37:170:37:19

All of this,

0:37:190:37:22

all the trouble he's got into, all the determination about the case,

0:37:220:37:25

all the rage...

0:37:250:37:26

It's my fault.

0:37:260:37:27

OK, maybe it is,

0:37:270:37:29

so aren't you being selfish, then?

0:37:290:37:31

Maybe I am.

0:37:320:37:34

Nobody told me being a mother would be so painful.

0:37:370:37:40

Linda, please.

0:37:430:37:44

Linda!

0:37:440:37:45

-Hi.

-Hi.

0:38:500:38:53

Oh, I didn't have the heart to wake you.

0:38:530:38:55

I hear you've been up half the night.

0:38:550:38:57

Er... How is he?

0:38:570:39:00

We're about to find out.

0:39:000:39:02

Miles, I'm going to ask you a few questions. That all right with you?

0:39:020:39:05

Yeah.

0:39:050:39:06

Do you know where you are?

0:39:060:39:07

Holby City Hospital.

0:39:070:39:10

I had an operation.

0:39:100:39:12

Very good.

0:39:120:39:13

And can you tell me what month and what year this is?

0:39:130:39:15

February, 2018...

0:39:150:39:17

I was born in 2001.

0:39:170:39:20

I'm 17, and 17 times 17 is 289.

0:39:200:39:23

Guess I'm still good at maths.

0:39:250:39:27

Yeah, I guess you are. That's very good, Miles. Very good.

0:39:270:39:29

And I know she's gone.

0:39:310:39:33

Hasn't she?

0:39:330:39:35

Miles, she...

0:39:350:39:37

I saw her plane ticket a couple of days ago.

0:39:370:39:39

She's just grieving.

0:39:390:39:41

She needs to find her way, and I'm sure it'll be back to you.

0:39:410:39:45

Did Blake get sentenced?

0:39:490:39:51

No...

0:39:510:39:53

They're deciding today.

0:39:530:39:55

I need to go.

0:39:550:39:56

I'll see you soon.

0:39:570:40:00

-Thanks, Dr Zaman.

-Bye.

0:40:000:40:02

Come on.

0:40:140:40:15

Thank you.

0:40:190:40:21

Ah, so how much did you pay for this pile of junk?

0:40:210:40:24

More money than I've ever spent on anything,

0:40:240:40:26

so do not even think about insulting my little Bettie.

0:40:260:40:30

Bettie Page.

0:40:300:40:31

The patron saint of bad girls.

0:40:310:40:32

Kindred spirits.

0:40:320:40:34

Is that why you stood up Susie last night?

0:40:340:40:37

Yeah. I spoke to her.

0:40:370:40:39

-It's not cool.

-Come on!

0:40:390:40:41

She'll get over it.

0:40:410:40:43

Can I help it if women are drawn to me like moths to a flame?

0:40:430:40:46

Don't come too close, you get burned.

0:40:460:40:47

Yeah, I'll see you inside.

0:40:470:40:49

-Hey.

-Hiya.

0:40:560:40:58

I just want to say that I'm sorry.

0:40:580:41:01

OK, I know I hurt your feelings yesterday,

0:41:010:41:03

and if you're after some kind of elaborate excuse I'm afraid I don't have one.

0:41:030:41:07

It was just me and my stupid hang-ups, OK, it's nothing to do with you.

0:41:070:41:13

Do you mind if I buy you a drink?

0:41:130:41:14

Make it up to you?

0:41:140:41:17

Provided you can keep your hands off me.

0:41:170:41:19

Yeah, well, you've clearly got massive issues, so no.

0:41:190:41:24

I don't think so.

0:41:240:41:26

Morning.

0:41:330:41:35

Morning.

0:41:350:41:36

Good news about Miles.

0:41:360:41:38

Yes, yes, it is, just spoken to Mr Zaman.

0:41:380:41:41

Checking in on him after he's left the ED.

0:41:410:41:43

Just like you've been doing with Kam.

0:41:430:41:46

One of the ICU nurses told me.

0:41:460:41:49

Why didn't you?

0:41:500:41:51

Because I shouldn't have to prove to you that I care.

0:41:510:41:55

Oh, Elle.

0:41:580:42:00

I'm sorry, I need to get back to my own son.

0:42:000:42:02

Did you order a urine test on Miles Ashworth last night?

0:42:020:42:04

Yeah.

0:42:040:42:06

Thanks, Alicia.

0:42:090:42:10

Morning, ma'am.

0:42:130:42:14

Having been updated by the hospital,

0:42:140:42:16

I can now report that Miles Ashworth is on the road to a full recovery.

0:42:160:42:20

But let's not forget what he's been put through.

0:42:200:42:24

A head injury resulting in not one,

0:42:240:42:26

but two trips to the Emergency Department.

0:42:260:42:28

And just yesterday,

0:42:280:42:30

Miles had to undergo invasive brain surgery for his injuries.

0:42:300:42:33

What's wrong? Is everything OK?

0:42:330:42:36

Well....

0:42:360:42:38

I have the results of a urine test which show high levels of THC,

0:42:380:42:43

which is tetrahydrocannabinol, which is cannabis.

0:42:430:42:47

Something you'd like to tell me?

0:42:470:42:50

Miles?

0:42:500:42:51

I smoked it yesterday.

0:42:530:42:55

Before your seizure?

0:42:550:42:57

I wanted to tell you...

0:42:570:42:58

I'm sorry.

0:43:000:43:01

I don't understand...

0:43:010:43:03

Giving what happened before, you must have known smoking that was extremely dangerous.

0:43:030:43:09

You could have died.

0:43:090:43:11

Please...

0:43:140:43:16

Tell Blake I said good luck.

0:43:170:43:19

How long is it going to take?

0:43:240:43:26

The judge is deciding. Any minute now.

0:43:260:43:29

Mum's going to miss it.

0:43:300:43:32

She'll be here, all right?

0:43:320:43:34

She'll be here.

0:43:360:43:37

Hey, droopy drawers.

0:43:410:43:43

Forgiven me yet?

0:43:430:43:44

It's not me you should be apologising to.

0:43:440:43:46

Yeah, I tried that.

0:43:460:43:48

She threw it back in my face.

0:43:480:43:50

Believe it? This face!

0:43:500:43:52

Do you blame her?

0:43:520:43:54

Make me a coffee.

0:43:540:43:55

What is it with you? Why do you care? It was one night.

0:43:590:44:02

We're grown-ups.

0:44:020:44:04

Yeah, but it wasn't just one night, was it, Bea?

0:44:050:44:08

Not to her. It was her first time.

0:44:080:44:10

You didn't know?

0:44:100:44:12

Yeah, well, it might mean nothing to you,

0:44:120:44:15

but to some people it's not nothing,

0:44:150:44:16

OK? To some people, it's something that they're scared to do,

0:44:160:44:19

that they want to be unique,

0:44:190:44:21

that they've tried to do

0:44:210:44:22

and every time you get close you just seem to...

0:44:220:44:24

What?

0:44:260:44:27

Rash, are you trying to tell me that you're a virgin?

0:44:270:44:30

Oh, you are!

0:44:320:44:34

Oh, you are.

0:44:360:44:38

That is nothing to be embarrassed about, exactly.

0:44:380:44:42

Are you waiting because you're Muslim?

0:44:440:44:47

No. Although if my mum asks, that's exactly why.

0:44:470:44:51

Well, then...what is it?

0:44:510:44:53

-Is it...

-What? No! It all works fine.

0:44:530:44:56

It's just... I get nervous.

0:44:560:44:57

And... I've built it up so much that...

0:44:570:45:01

..I want it to be something I can look back on and it be special.

0:45:030:45:07

Hey.

0:45:070:45:09

You are a lovely guy,

0:45:100:45:12

and whoever you choose is going to be an extremely lucky woman.

0:45:120:45:16

Obviously not me, Rash.

0:45:170:45:18

But I'll see what I can do.

0:45:190:45:22

What do you mean, see what I can do?

0:45:220:45:24

Well, that cherry ain't going to pop itself.

0:45:240:45:27

Step aside, Dr Love.

0:45:270:45:29

Dr Kinsella is ready to operate.

0:45:290:45:31

Come on.

0:45:310:45:33

Blake Gardner, please rise.

0:45:370:45:38

We have been informed that Miles Ashworth's admittance to

0:45:410:45:45

hospital was not as a result of his original injury.

0:45:450:45:47

That said,

0:45:470:45:50

having heard the details of your violent conduct on the day

0:45:500:45:53

in question, your actions cannot be allowed to go unanswered for.

0:45:530:45:57

Your decision to plead guilty, along with your clear signs of remorse,

0:45:570:46:01

lead me to conclude that

0:46:010:46:03

for the offence of grievous bodily harm contrary to

0:46:030:46:06

Section 20 of the Offences Against The Person Act 1861, we are

0:46:060:46:10

making a referral order for the period of six months.

0:46:100:46:14

Ah, we need to celebrate. Let's go for lunch somewhere.

0:46:230:46:26

It's not even ten yet.

0:46:260:46:27

Really? Oh, OK, late breakfast, then.

0:46:270:46:29

With Mimosas!

0:46:290:46:31

Oh, I've only had an hour's sleep -

0:46:310:46:33

the alcohol will probably wipe me out, but do you know what? I don't care.

0:46:330:46:37

All right, well, let's do it.

0:46:390:46:41

And yes, I'll let you have one, too.

0:46:410:46:43

What?

0:46:430:46:44

Let's go, shall we? Yeah?

0:46:470:46:49

Look, I know a really good place, it's not too far. Just follow me.

0:46:490:46:52

Blake, I'm parked just down here.

0:46:520:46:54

Right.

0:46:540:46:55

Could I go with Dad?

0:46:570:46:59

Yeah, OK.

0:46:590:47:01

No, I mean, could I stay with him, for a bit?

0:47:010:47:05

Blake, it's fine for a night, but we can't ask Jacob to disrupt his life...

0:47:080:47:14

It wouldn't.

0:47:140:47:15

If he wants to stay, he's very welcome.

0:47:160:47:21

No, Mum, it's not like that. You've done everything for me, and I love you, but...

0:47:240:47:30

..I need this right now. Do you understand?

0:47:310:47:35

Yeah.

0:47:350:47:36

Thank you.

0:47:380:47:40

-See you there.

-Yeah.

0:47:460:47:48

OK, let's go.

0:47:480:47:49

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