On the day of her son's trial, Elle finds herself looking after the boy he assaulted. Are his new injuries related? Bea's one-night stand leads her to find out Rash's secret.
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-What's going on? It's chaos.
-Who's in charge?
-No, I mean clinical lead.
Yes, that's me. I'm acting clinical lead.
If he dies on my truck cos we couldn't get him in the doors...
He won't! What has to happen before people start listening?
You. You hit me.
I didn't mean to hurt you.
You've got every right to know and I have no right to keep it from you.
I'm your dad.
Blake Gardener, I'm arresting you on suspicion of GBH.
You do not have to say anything...
GBH? This was a fight between two kids.
Will the defendant please rise?
you have been charged with the offence of grievous bodily harm.
This crime was committed against Mr Miles Caine Ashworth, contrary
to Section 20 of the Offences Against The Person Act, 1861.
To this charge, how do you plead? Guilty, or not guilty?
We should go.
The sooner we get this over with, the better.
For all of us.
Actually...there's something I want to talk to you about.
OK, it's under his head.
You're doing well.
Now, it's likely he can hear you, so talk to him. Calm him.
Tell him you'll stay with him.
The ambulance is almost with you.
Just try and keep him calm.
I can't do this.
Mrs Ashworth? Mrs Ashworth?
Yes, I-I'm still here.
Hey, where are you going?
Oh! I didn't want to wake you.
Plus, this is much less embarrassing.
It's got that whole Romeo and Juliet vibe going on, yeah?
Come back up. I'll do us breakfast.
Nah, I'm on a shift.
It was fun. See you around?
Shall I call you?
Hi. What have we got?
Miles Ashworth, 17.
He collapsed at home from an apparent seizure.
Why is this happening to him?
Hi, there, Miles.
He was conscious on arrival, although still lethargic.
Tachy at 140, sats 94, resps 10, BP is 180/100.
We've put a line in just in case, but we haven't given him any meds.
-We brought him in two weeks ago with a head injury,
but his records show that he was given the all-clear in the ED. Is that right?
Uh, yes. I believe so.
OK. Right, we'll get him booked in.
Thanks. OK, Miles, I'm Dr Hardy.
Do you remember what you were doing before the seizure?
I was getting ready.
We're supposed to be in court.
OK. Let's get a full set of bloods, ECG
and we'll send him for a head CT, as well.
This is down to the assault, isn't it?
I won't know anything until we've got the scans back.
I thought this would be over with.
What has that boy done to him?
I just wanted to say tha...
That I'm sorry for what I did.
And I'm sorry for the hurt and worry that I caused Miles and his family.
And for my failure to own up to my actions sooner.
And I, er...
Please continue, Blake.
Alicia, it's me. What is going on?
He was brought in about 20 minutes ago, after a seizure.
Ethan's taking him for a CT scan now.
I'm coming in.
No, Elle, I don't think that's a very good idea.
Elle, you really shouldn't be here.
If this is at all connected to the attack,
someone has to warn Blake's solicitor.
That's Blake's mum.
I don't want her anywhere near me.
My son is...
Mrs Ashworth, I'm Dr Gardener.
I know who you are.
I'm sorry Miles is back here.
Sorry for who? Your son?
I understand you're upset,
but I want Miles back in good health, just the same as you.
Why are you even here?
You want to cover it up. All of you do.
I can assure you that is not the case.
That boy in there is the victim here.
Not your son. Not you.
That is not true.
He only lost his father a year ago and we have been through hell!
We are trying to move on.
And if his injuries stop us doing that...
someone will pay, I promise you.
Hi, you've reached Elle Gardener, please leave a message.
Elle, where are you?
They've decided to call character witnesses. You're supposed to be here for Blake...
Just come back.
Wow. You're still alive, then?
Has anyone noticed?
What, that you're still wearing the same clothes as yesterday? Nah!
Can you just cover for me while I go and change?
Nice of you to join us, Dr Kinsella.
Dr Hardy, I'm so sorry.
It's actually... It's a funny story, really...
Well, if I had time, I'm sure I'd enjoy it.
I'm not going to have a chance to check in on you today, so you're both on minors, OK?
It won't always be like this, I hope,
but if you can get changed, let's get to work.
OK, I have the results of Miles' CT scan.
The good news is, there's no sign of a bleed, all right?
It's a similar contusion to what he had before.
So it was caused by the previous injury?
I'd rather not jump to conclusions,
but whatever the cause, we'll get to the bottom of it, OK?
I would like to keep him under observation for now.
For how long?
This is good, Mum.
I mean, it'll help us win.
I think it's best if we get some more information before speaking to the courts.
I have called an ambulance.
They're going to be here any minute.
I have to go now.
Don't go, don't go!
I'm so thirsty.
Will you get me some water, please?
Oh, you're a good boy, Jamie.
Stop calling me that, I'm not Jamie.
That's them now. They're going to look after you, OK?
-No, no, no!
-Shh, shh, don't be scared.
-Don't leave me!
-You'll be OK.
Hey, mate. Did you call for an ambulance?
Right, do you want to let us in?
Yeah, one sec.
She's in here.
Can you show us through?
Hello, love. Can you tell me your name?
It's Nora. Hunton.
She's my nan.
I just came to visit...
..and I just found her like this.
Looks like she's been here for a while.
OK, Mrs Hunton, my name's Sam, this is Iain, we're the paramedics.
Have you had a fall?
No, no, I don't want you.
They're just... They're just here to help you, Nan.
Right, we're just going to take a quick look at you, if that's all right?
OK, keep your head nice and still for me.
Does it hurt where I'm pressing?
No apparent head injury and the neck's clear.
Pulse is 110. Stats 92%.
I'm just going to give you a quick check over.
-Oh, yeah. OK, we're looking at a broken hip.
-I'll get the carry trolley.
OK. Try and breathe nice and deeply for me.
Try and breathe normally.
There you go, Nora.
What did you say your name was?
OK, Jamie. Has your nan got dementia?
I've not seen her in a while.
OK, well, she could just be confused.
She's pretty dehydrated.
I'm going to get some IV fluids into her.
OK. I'll be back in a second, yeah?
OK. We're going to get you nice and comfortable, Nora.
You all right, pal?
Listen, there's room on the van,
so you're going to stay with your nan, yeah?
May it please the court, with your leave, I would like a moment to
confer with my client before we call our character witness to the stand.
Where is she?
We don't know. I've left messages.
I could ask for a quick adjournment while we try to locate her,
but we need a statement of Blake's good character.
It'll be very tough to proceed without it.
Can't Jacob do it?
Oh, Blake, I don't know about that.
Look, your mum already knows what to say.
But she's not here, is she?
It doesn't have to be his mother, just someone close to him. It could work.
Ma'am, I'm afraid my client's mother has had to leave on urgent business,
but Mr Jacob Masters has offered to step in as a character witness.
And what's his relation to the defendant?
I'm his father.
OK, Nora, you take it nice and easy now, OK?
We've given her 1 gram of IV paracetamol, 250ml of sodium chloride
for the dehydration, but she's still a bit confused.
Looks like she's been on the floor for a few days.
BM is OK and she's FAST negative.
No sign of intoxication, so I suspect some form of dementia.
All right, Nora, darling, we're going to get you cleaned up now, OK?
I'll contact the GP about her notes.
Duffy, can we get a full set of bloods, an ECG and a VBG?
We'll take her for an X-ray
and a fascia iliac block for that hip if it's fractured.
Oh, could you get me a urinary catheter prepped?
Jamie, is it?
Do you know if your gran's on any medication at all?
I'm sure she's got half a chemist in her bathroom, but anything in particular you know of?
And she lives alone? She have anyone to help besides you? Any home help?
-I don't know.
-Well, what about your mum or dad?
I said I don't know. I don't really talk to them.
I don't even live in Holby.
Is it me, or is that lad acting a bit off?
How'd you mean?
He was acting well strange back at the house.
And what's with that kit bag?
He's just visiting his nan. Maybe he packed an overnight bag.
Just to be clear, Mr Masters, you don't
actually live with Blake or his mother?
No, I never did.
But you've had ongoing contact with your son?
Well, I, um...
I didn't know he was mine, until recently.
Just before Christmas.
Ma'am, this is not an adequate amount of time to establish
All right, I didn't know that Blake was my son but I've known him his whole life.
He started walking when he was nine months.
His favourite toy was a Snoopy dog. He couldn't say it, so he called it Spoo.
He's always been a good kid.
A funny kid.
And challenging in the best way because he's smart,
and his academic records prove that...
I guess you could say that Blake's a chip off the old block.
When this is over, and we've won...
..we can get back to normal.
You and me.
Don't think about that now.
So like your father.
I miss him, too.
This morning, I wanted to talk to you about something.
With the issues at school
and the year we've had,
I was speaking to your uncle about you moving to
Edwalton College and maybe staying with them for while.
Just think about it.
No, Mum. I'm staying here.
Why do you think I'd be better off somewhere else?
Do you mind? This is a private conversation.
OK, let's try and stay calm.
Mum, I asked you a question, what...
What's wrong with him?
What's happened? Elle.
He's lost mobility on the left side.
How are you feeling, Miles?
Whereabouts do you feel weak? Is there a particular part of your body?
Is it... Left... Left side.
Might be a bleed on a brain.
David can you see if CT are free, please?
-But he was fine, you said he was fine!
It's possible that the seizures caused his blood pressure to
go up and made him haemorrhage.
CT are ready to take him now.
OK, let's go.
Bea, just two secs, there's someone's here
-wants to speak to you.
You seem surprised. You do know I work just upstairs, right?
I do now.
Just assumed you were the type to hang out around hospital pubs.
Works for me.
They don't know yet but I'm not really a doctor.
Anyway, I've got a tonne on,
so... I'll see you around. Take care, yeah?
Do you fancy a glass of wine after work?
Listen, I'm not really up for anything...
Wouldn't mean we're engaged. Just wine.
On my way.
I get off at 5.15.
By the coffee cart?
Would you stop watching that guy? We've got work to do.
All right, Nora, we're just going to pop you up to X-ray.
What is it?
Where's Jamie? Jamie!
I think it's best if you come with her.
Nan, it's all right, Nan, I'm here, Nan. Jamie.
No. No, no!
Iain, just...no! Just...
Oh, well, what do you know? Jewellery.
Mobile phone. Ah! Look, lady's purse.
That could mean anything.
It's a clear bleed over the original contusion.
So it is linked to the assault.
It's highly likely, yes.
He could have taken something that's aggravated the fits.
We know Miles has smoked cannabis in the past which led to the seizures...
What? My son is not on drugs.
I'm informing the court, right now.
-The disorientation, the elevated heart rate, the anxiety...
Ethan, please run a urine test to rule out drugs use.
Please, for me.
I'll see what I can do.
How... How long do I have to...
It's just another minute, you're doing really well, OK?
He's fitting. Can we get him out of there, please?
I mean, Blake knows better than to settle things with his fists.
But everyone has a breaking point.
What with being bullied at his new school, plus the family upheaval...
I mean, that's lot for a 17-year-old to deal with.
Ma'am, I am not saying it's an excuse...
..but it's a reason...
..deserves a second chance.
Thank you, Mr Masters.
I have just been informed that the victim, Miles Ashworth,
collapsed at his home this morning.
-He has been taken to the Emergency Department.
I'd like to request an adjournment until we can establish Miles'
prognosis and to see if his poor health is directly
related to the injuries inflicted by the defendant.
The court is adjourned until 3pm.
I shall retire.
That's why Mum left, isn't it?
Let's go and get some coffee.
I can't come now.
I'm in work.
I'll be there as soon as I can, OK?
Oh! There you are. Everything all right?
Yeah. Well, no, actually.
-Someone's got to tell Jamie.
Look, Bea, if you like, I could talk to him.
I've done this plenty of times, so if you don't feel up to it...
No, just give me a second.
I'll do it.
We've got him on a Phenytonin infusion to control the seizures.
It's working for now, but I'm concerned about his fitting.
Well, I'd say there's still time to continue as you are,
controlling the bleed with pro-coagulants,
see if there's a natural reduction.
But if there's any signs of a raised ICP,
then I'd start a mannitol infusion and I'd recommend draining
the haematoma surgically as soon as possible.
But I can keep my team on standby in the meantime.
Please...tell me Miles is OK.
No, he's not.
He's not OK.
What does that mean?
The neurosurgeon's with him now.
What's happening with you?
Adjourned, until they know more.
Just tell him I'm sorry I'm not there.
He gets it.
Just do what you need to do.
Keep me posted, all right?
I have something to tell you.
Do you want to sit down or something?
Nah. What's going on?
We have your gran's X-ray results,
and we've found what we believe to be lytic lesions.
You see these dark patches here?
What is that?
It's cancer, I'm afraid.
I thought she just broke her hip.
She broke it cos it's in her bones.
And it's also spread to her liver and pancreas.
It's possible she didn't know she was ill.
It's common in cases of dementia.
I'm so sorry, Jamie.
Did your nan ever talk to you about what her end-of-life wishes might be?
Look, as her next of kin, you can ask us to intervene medically,
but you should know it's unlikely she'd survive treatment.
Just do what you think is best.
We'll make sure she doesn't suffer.
And we'll try and get her a bed upstairs, OK?
I'm here, I'm here, Nan.
How are you, Jamie? You fell off your bicycle.
Those boys were chasing you.
You were bleeding.
I'm all right, Nan.
You see, I'm better now.
How's he doing?
No improvement, I'm afraid.
Have you got a second? Cos we've got a bit of a problem.
Now, there's no easy way to say this, but Jamie is not Jamie.
Well, who is he?
We don't actually know,
but his bag was full of what appeared to be stolen property,
including Nora's purse and a crowbar,
which suggests that he'd broken into Nora's place when he found her.
I say all that because her GP is now insisting that she has no living relatives.
I can't believe this.
The police are on their way.
But we have to keep him away from her.
Wait, he did call the ambulance for her, didn't he?
Yes, but we don't...
Look, the only thing that matters here is Nora.
How're you feeling, Miles?
Shouldn't you be with your own son?
Yes, I should.
But I can't be in two places at once. I'm trying to help.
Help? I think that's the last thing on your mind.
Please, ladies, can we keep it civil?
If you were any kind of mother, then Miles wouldn't have been injured in the first place.
That is not fair.
-He's fitting again.
-Louise, get me 375 mg thiopental and 40 mg of rocuronium, please.
He's going to need to be intubated. The neurosurgeons will want to take him straight to theatre.
Let's get him ready for transfer as soon as he's tubed.
No! No, I don't want you touching him!
I am trying to help!
It's going to be OK.
There, that should stop the fitting.
There we go, there we go.
Good. Laryngoscope, please.
I can see the cords.
Size 8 tube, please.
There we go, and I'm in.
Good bilarteral air entry.
Inflate the cuff. Crichoid off.
Secure the tube, please.
David, call neurosurgery, tell them he needs to go straight to theatre,
then start a mannitol infusion. Let's get him ready for transfer.
I don't know.
Elle, step back. You know you shouldn't be on this.
Neurosurgery are ready to take him.
If he goes in to surgery, does that... Does that mean he could die?
There is a small risk of that.
But that's not going to happen, OK? Blake, listen to me...
I'd be a murderer.
-He's not going to die.
-You don't know that!
Here's what I do know. You've got your mum,
you've got your brothers, and you've got me.
You are not going through this alone.
We're with you, every step of the way.
We love you.
It'll be OK, son.
Miles started fitting again.
Elle had to intubate.
So he's been taken to theatre.
OK, thank you.
Where were you?
I do have other patients.
The beds blocked upstairs are backing everything up down here.
We can't afford another Kam situation, Ethan, we can't.
Short of diverting patients to
St James, there's nothing I can do, so we're just going to have to cope.
Dr Hardy, I have an elderly dementia patient in cubicles, and she's terminal.
I just need to find her a bed.
OK, no-one should have to die in the ED,
least of all an old lady who is scared and confused.
Yes, I agree.
If we're at full capacity there's nothing I can do, OK? I'm sorry.
We have to come back tomorrow now for sentencing.
Is Miles in theatre yet?
They're just getting him prepped. I'm going to observe, I just wanted to check in with Blake first.
Can I talk to him?
It's your mum.
I'm really sorry about today.
It's fine. Jacob stood in.
He told them about Spoo.
Not sure how I feel about that.
Um... Listen, sweetheart, I, er... I need to be here a bit longer,
but I will be back tonight, I promise.
Are you happy to stay with Jacob until I can pick you up?
Yeah. I mean, I could stay at his.
Would he be all right with that?
He said yeah.
OK, if that's what you want.
Blake, you know you're loved, don't you?
Hey... Have you ever made a risotto?
What's that, the rice thing?
Well, it just so happens to be a speciality of mine.
And one that never fails to impress the ladies.
I think it's high time I taught that recipe to my son, yeah?
-You up for it?
How is she?
Not long now.
Did Charlie talk to you?
Maybe I should go.
Go? Why would you go? Your nan is dying.
See, I don't like things like this.
She don't even know I'm here.
You are going to stay and hold her hand until the end, do you understand me?
The police are outside.
I asked them to wait.
So hold her hand.
Jamie was her son who died.
At least do one good thing with your life.
I didn't mean for this to happen,
I was desperate.
It's all right, Mum.
It's me, it's Jamie.
I'm right here with you, Mum.
It's your boy, Jamie. I'm right here.
Time of death.
Can you come with us, please, sir? A few questions I need to ask you.
Yes, he's under.
Right. Scalpel, please.
Making the incision.
Look, I'm sorry about your patient today.
Hey. Can't save 'em all, right?
You want some company?
Nah, I've actually got, um...
I actually just want an early night.
I'll see you tomorrow, yeah?
Hey, it's Susie, right?
She's gone, hasn't she?
So that's what THAT feels like.
Look, I'm sorry about Bea.
She's a bit all over the place.
I mean, she's lovely, but she doesn't really do serious.
To be honest, I only came out a year ago,
and it sounds stupid but I just didn't want my first time to be
a one-night stand.
Even if it means we're just mates.
Anyway, tell her...thanks a lot.
There's another bleed.
Looks like an AVM, I must've nicked it.
All right, let's mix him some local haemostatic agent, quickly, please.
-We have to wait for it to thicken before we can inject it and stop the bleed.
-Why is this happening?
He has an arteriovenous malformation, it's a congenital condition.
Asymptomatic in most cases, and his is small, which is why we missed it on the CT.
OK, that's good.
You've basically put a whole bottle into this?
Apart from this bit.
Don't you dare tell your mum now.
Even if Miles survives the surgery, it could still ruin his life, couldn't it?
He could have permanent brain damage.
I mean, what if he can't do anything for himself any more?
How could I live with that?
That's the bit that scares me the most.
More than being sent down for it.
But you know what? Feeling guilty is no bad thing.
It just reminds you of the fact that you're one of the good guys.
Now get back to stirring.
Right, we'll keep him sedated overnight and monitor his blood pressure.
The signs are good. In the morning, we'll do a full neurological exam,
-just to be sure. OK? You got any problems, give me a call.
I could get you a blanket and some pillows, if you'd like.
I can't do this.
-Hey, hey, hey.
-I can't do this.
Just... Just sit down.
It was in pieces when Roger died.
It was bowel cancer.
Just like that, he's gone...
I'm so sorry.
I didn't have time...
..to even begin to process life without him.
And ever since, I...
..I look at Miles...and I...and I see him.
And it kills me.
How can you resent your own son?
There are people you can talk to.
Professionals, they can help you, give you the support you need.
What I need is to go... Is to go away.
Just for a while.
My brother will be here for Miles in the morning.
Toronto? But that's for tonight? Linda, you can't, he needs you.
You're his mum!
All of this,
all the trouble he's got into, all the determination about the case,
all the rage...
It's my fault.
OK, maybe it is,
so aren't you being selfish, then?
Maybe I am.
Nobody told me being a mother would be so painful.
Oh, I didn't have the heart to wake you.
I hear you've been up half the night.
Er... How is he?
We're about to find out.
Miles, I'm going to ask you a few questions. That all right with you?
Do you know where you are?
Holby City Hospital.
I had an operation.
And can you tell me what month and what year this is?
I was born in 2001.
I'm 17, and 17 times 17 is 289.
Guess I'm still good at maths.
Yeah, I guess you are. That's very good, Miles. Very good.
And I know she's gone.
I saw her plane ticket a couple of days ago.
She's just grieving.
She needs to find her way, and I'm sure it'll be back to you.
Did Blake get sentenced?
They're deciding today.
I need to go.
I'll see you soon.
-Thanks, Dr Zaman.
Ah, so how much did you pay for this pile of junk?
More money than I've ever spent on anything,
so do not even think about insulting my little Bettie.
The patron saint of bad girls.
Is that why you stood up Susie last night?
Yeah. I spoke to her.
-It's not cool.
She'll get over it.
Can I help it if women are drawn to me like moths to a flame?
Don't come too close, you get burned.
Yeah, I'll see you inside.
I just want to say that I'm sorry.
OK, I know I hurt your feelings yesterday,
and if you're after some kind of elaborate excuse I'm afraid I don't have one.
It was just me and my stupid hang-ups, OK, it's nothing to do with you.
Do you mind if I buy you a drink?
Make it up to you?
Provided you can keep your hands off me.
Yeah, well, you've clearly got massive issues, so no.
I don't think so.
Good news about Miles.
Yes, yes, it is, just spoken to Mr Zaman.
Checking in on him after he's left the ED.
Just like you've been doing with Kam.
One of the ICU nurses told me.
Why didn't you?
Because I shouldn't have to prove to you that I care.
I'm sorry, I need to get back to my own son.
Did you order a urine test on Miles Ashworth last night?
Having been updated by the hospital,
I can now report that Miles Ashworth is on the road to a full recovery.
But let's not forget what he's been put through.
A head injury resulting in not one,
but two trips to the Emergency Department.
And just yesterday,
Miles had to undergo invasive brain surgery for his injuries.
What's wrong? Is everything OK?
I have the results of a urine test which show high levels of THC,
which is tetrahydrocannabinol, which is cannabis.
Something you'd like to tell me?
I smoked it yesterday.
Before your seizure?
I wanted to tell you...
I don't understand...
Giving what happened before, you must have known smoking that was extremely dangerous.
You could have died.
Tell Blake I said good luck.
How long is it going to take?
The judge is deciding. Any minute now.
Mum's going to miss it.
She'll be here, all right?
She'll be here.
Hey, droopy drawers.
Forgiven me yet?
It's not me you should be apologising to.
Yeah, I tried that.
She threw it back in my face.
Believe it? This face!
Do you blame her?
Make me a coffee.
What is it with you? Why do you care? It was one night.
Yeah, but it wasn't just one night, was it, Bea?
Not to her. It was her first time.
You didn't know?
Yeah, well, it might mean nothing to you,
but to some people it's not nothing,
OK? To some people, it's something that they're scared to do,
that they want to be unique,
that they've tried to do
and every time you get close you just seem to...
Rash, are you trying to tell me that you're a virgin?
Oh, you are!
Oh, you are.
That is nothing to be embarrassed about, exactly.
Are you waiting because you're Muslim?
No. Although if my mum asks, that's exactly why.
Well, then...what is it?
-What? No! It all works fine.
It's just... I get nervous.
And... I've built it up so much that...
..I want it to be something I can look back on and it be special.
You are a lovely guy,
and whoever you choose is going to be an extremely lucky woman.
Obviously not me, Rash.
But I'll see what I can do.
What do you mean, see what I can do?
Well, that cherry ain't going to pop itself.
Step aside, Dr Love.
Dr Kinsella is ready to operate.
Blake Gardner, please rise.
We have been informed that Miles Ashworth's admittance to
hospital was not as a result of his original injury.
having heard the details of your violent conduct on the day
in question, your actions cannot be allowed to go unanswered for.
Your decision to plead guilty, along with your clear signs of remorse,
lead me to conclude that
for the offence of grievous bodily harm contrary to
Section 20 of the Offences Against The Person Act 1861, we are
making a referral order for the period of six months.
Ah, we need to celebrate. Let's go for lunch somewhere.
It's not even ten yet.
Really? Oh, OK, late breakfast, then.
Oh, I've only had an hour's sleep -
the alcohol will probably wipe me out, but do you know what? I don't care.
All right, well, let's do it.
And yes, I'll let you have one, too.
Let's go, shall we? Yeah?
Look, I know a really good place, it's not too far. Just follow me.
Blake, I'm parked just down here.
Could I go with Dad?
No, I mean, could I stay with him, for a bit?
Blake, it's fine for a night, but we can't ask Jacob to disrupt his life...
If he wants to stay, he's very welcome.
No, Mum, it's not like that. You've done everything for me, and I love you, but...
..I need this right now. Do you understand?
-See you there.
OK, let's go.