0:00:02 > 0:00:06It's over, Iain, I'm going to go hand myself in.
0:00:06 > 0:00:07I promise I'll do you proud.
0:00:07 > 0:00:11As of today, I am Clinical Lead of the department
0:00:11 > 0:00:14You weren't my first choice but we were short of candidates
0:00:14 > 0:00:17The hospital is officially full.
0:00:17 > 0:00:20HTC and Resus only for those who absolutely need it.
0:00:20 > 0:00:22We're going to have to put him in the corridor for now,
0:00:22 > 0:00:23just for a minute. I'll get it sorted.
0:00:23 > 0:00:26What has to happen before people start listening?
0:00:26 > 0:00:27I'm doing my best.
0:00:27 > 0:00:29Yeah, well, it's not good enough
0:00:30 > 0:00:31Welcome to Holby FM.
0:00:31 > 0:00:34Today, we are talking about Rage in Resus,
0:00:34 > 0:00:36the controversial blog everyone is talking about.
0:00:36 > 0:00:38The NHS is broken.
0:00:38 > 0:00:41I'm quite surprised a doctor is talking like this about their own department.
0:00:41 > 0:00:45News just in, the hospital in question has just been
0:00:45 > 0:00:46revealed as Holby City Hospital.
0:00:46 > 0:00:50I just cant believe this is happening in Holby, I use that hospital.
0:00:50 > 0:00:53I'm not using Holby City any more, I'm going to St James'.
0:00:53 > 0:00:56It really feels like the NHS is at breaking point now.
0:01:44 > 0:01:47- Virgin.- Sorry?
0:01:47 > 0:01:49Heads of Department meet. Your first?
0:01:50 > 0:01:53- It's that obvious, is it?- Yes.
0:01:53 > 0:01:55This is bad timing for you.
0:01:55 > 0:01:57I assume you have a response to this?
0:01:57 > 0:01:59- Something to answer the accusations. - Not answer, no.
0:01:59 > 0:02:04But I have been looking at ways to increase department capacity and flexibility.
0:02:04 > 0:02:06Really? But I thought you were already over budget?
0:02:06 > 0:02:08Actually, this doesn't need any extra funding
0:02:08 > 0:02:12and I think it could have a positive effect on the take wards.
0:02:12 > 0:02:15It's a Clinical Decision Unit. Run by the F1s.
0:02:15 > 0:02:22F1s! Ha! May as well hand toddlers some hammers and saws.
0:02:22 > 0:02:24You're announcing the start of that today, are you?
0:02:24 > 0:02:26Uh, no. Not yet.
0:02:28 > 0:02:32It's not ready. I haven't finished the protocols and I haven't secured any more beds.
0:02:32 > 0:02:34Well, there are no more beds. You know that.
0:02:34 > 0:02:37If there were, you wouldn't be resorting to stunts like this.
0:02:37 > 0:02:39Protocols can be written up afterwards.
0:02:39 > 0:02:41I think the nursing staff might object.
0:02:41 > 0:02:43Of course they will. Especially the fat ones.
0:02:43 > 0:02:48But that's what being Clinical Lead means, Ethan, not always being popular.
0:02:48 > 0:02:50Yes, well, I'm getting good at that part.
0:02:50 > 0:02:53You know, I have some reclining chairs that I could send your way...
0:02:53 > 0:02:54They wouldn't be missed.
0:02:56 > 0:02:57What would I have to do in return...?
0:02:57 > 0:02:59Take on some of my cases.
0:02:59 > 0:03:01Maybe the troponin tests.
0:03:01 > 0:03:03We're full, too, Ethan.
0:03:03 > 0:03:06I'm losing surgical beds to patients waiting for blood tests.
0:03:07 > 0:03:12I have a couple of patients in HDU, they both need diagnostic angios.
0:03:12 > 0:03:14I can't get them moved, they're about to breach.
0:03:14 > 0:03:17- If you were able to help? - Sounds like a deal.
0:03:17 > 0:03:20It's certainly something I could look into.
0:03:20 > 0:03:21Yes, great.
0:03:21 > 0:03:23After you.
0:03:23 > 0:03:25Thanks.
0:03:27 > 0:03:29Morning.
0:03:29 > 0:03:35Right, Gem, we need to leave. Oi! We're going to be late.
0:03:35 > 0:03:38You will be. I'll be 45 minutes early.
0:03:38 > 0:03:41- Oh, there's my top. - Yeah, I've ironed it for you.
0:03:41 > 0:03:43Thanks, Mum.
0:03:43 > 0:03:46- Might need help with my laces too. - Come on.
0:03:46 > 0:03:48You're not dressed yet.
0:03:48 > 0:03:49I couldn't.
0:03:49 > 0:03:51Someone had my top.
0:03:55 > 0:03:56- Come on, then.- Go!
0:03:57 > 0:03:59What a mess.
0:04:02 > 0:04:04This isn't right.
0:04:04 > 0:04:05What do you mean? It's completely right.
0:04:05 > 0:04:07That's not what I meant...
0:04:07 > 0:04:09About time someone spoke up.
0:04:09 > 0:04:11- You think?- I think they're bang on.
0:04:11 > 0:04:12It is broken. We saw that.
0:04:12 > 0:04:14But this isn't the way to change things.
0:04:14 > 0:04:16It will put the trust on the defence.
0:04:16 > 0:04:17They have no more money.
0:04:17 > 0:04:19Attack the government, not the trust.
0:04:19 > 0:04:20What, you don't think this is?
0:04:20 > 0:04:22They should prioritise.
0:04:22 > 0:04:24I mean, it's always us that get squeezed.
0:04:24 > 0:04:26Speaking truth to power. That can't harm can it?
0:04:26 > 0:04:28- Just my opinion.- Ugh!
0:04:29 > 0:04:31Drinks tonight.
0:04:31 > 0:04:33Hope and Anchor. Please!
0:04:33 > 0:04:37- For once, I am thirsty and fancy free.- Sounds good.
0:04:40 > 0:04:42Hiya, this is Matilda Dunford...
0:04:42 > 0:04:44Do not call her Mattie...
0:04:44 > 0:04:47- It's not my name.- It's not her name. Right, she's 79 years old.
0:04:47 > 0:04:49Oh, please! Shush.
0:04:49 > 0:04:54She's been suffering from chest pains and shortness of breath for the past 48 hours.
0:04:54 > 0:04:57But she didn't like to complain. Her BP 180/90.
0:04:57 > 0:05:00Sats of 95%. Pulse 85.
0:05:00 > 0:05:04We've done an ECG which shows T wave inversion in the anterior leads.
0:05:04 > 0:05:06We've got a list of meds from Burwell Park
0:05:06 > 0:05:08and she is on medication for angina.
0:05:08 > 0:05:12I'm a mother. I was a wife.
0:05:12 > 0:05:13I used to be a chef.
0:05:13 > 0:05:17I like roses, sticky puddings and crosswords.
0:05:20 > 0:05:22I'm not just numbers on a little screen.
0:05:22 > 0:05:25- Quite right, Matilda. - Shall we get her booked in?
0:05:25 > 0:05:27Matilda, I'm Dr Munroe.
0:05:27 > 0:05:28Is there anyone we can call for you?
0:05:28 > 0:05:31Well, my daughter lives abroad.
0:05:31 > 0:05:35But you can give me this young man's number.
0:05:35 > 0:05:37Right. Dr Masum.
0:05:37 > 0:05:40What should we do?
0:05:40 > 0:05:42Duffy, have you seen my little sister, Gemma?
0:05:42 > 0:05:46- She's started as a porter today. - Sorry, no.
0:05:46 > 0:05:47And in here are the cubicles.
0:05:49 > 0:05:52Now, Gem, let me be very clear.
0:05:52 > 0:05:55I'm all for giving people second chances.
0:05:55 > 0:05:56Especially when they're as young as you.
0:05:56 > 0:06:01- But one thing I won't tolerate... - No stealing drugs?
0:06:01 > 0:06:05- Humour's not against the rules, is it?- Not when it's funny, no.
0:06:05 > 0:06:08This department is running at full capacity, as you can see.
0:06:08 > 0:06:11We can't afford for any slip ups. This is a trial period.
0:06:11 > 0:06:13You get no special treatment.
0:06:13 > 0:06:15Because of my brother? Well, let me be clear...
0:06:15 > 0:06:17I meant because of your background.
0:06:19 > 0:06:22You're here as a paid member of staff in my department.
0:06:22 > 0:06:24This isn't a hand-holding programme.
0:06:24 > 0:06:26Sorry. Nerves.
0:06:27 > 0:06:30Let me find Glen. He can show you around.
0:06:40 > 0:06:46LAUGHTER
0:06:49 > 0:06:53One eyebrow's too high. I've done you all Roger Moore.
0:06:53 > 0:06:55LAUGHTER
0:06:55 > 0:06:58- Having fun, girls?- Her name's Bond.
0:06:58 > 0:07:01- Here, let me have another go. - No. She looks great.
0:07:01 > 0:07:05- Don't be such a perfectionist, Valerie.- Hello, ladies!- Morning!
0:07:05 > 0:07:08Oh, you look smashing.
0:07:08 > 0:07:10You've outdone yourself, Val.
0:07:12 > 0:07:15Just got off the phone. Matilda's fine, the hospital says.
0:07:15 > 0:07:17They think it's just her angina flaring up.
0:07:17 > 0:07:20They're going to keep her in for some checks but she should be back with us today.
0:07:20 > 0:07:21Good. We all love Matilda.
0:07:21 > 0:07:23I wish she'd said something earlier.
0:07:23 > 0:07:25She looked so poorly this morning.
0:07:25 > 0:07:27I really thought...
0:07:27 > 0:07:29I would have gone with her but...
0:07:29 > 0:07:30We need you here.
0:07:30 > 0:07:33Right, well, we can let everyone know she's OK.
0:07:33 > 0:07:35They're all a bit worried. Especially Val.
0:07:35 > 0:07:39- Found this in the kitchens. - Oh, not again! I'll call the agency.
0:07:39 > 0:07:40It's OK. This is a pork chop, I think.
0:07:40 > 0:07:43- Not a dead rat this time. - Oh, that's OK, then.
0:07:43 > 0:07:46- Can't we get another firm in?- Magda, you know my cleaning budget.
0:07:46 > 0:07:49They think if the place is grubby, we'll make up the shortfall.
0:07:49 > 0:07:52- We do! That's how I found that. - I'm sorry
0:07:56 > 0:07:58Kitty, you next.
0:07:59 > 0:08:00Then you, Colin.
0:08:00 > 0:08:03SHE CHUCKLES
0:08:03 > 0:08:06- Ah!- Whoa!
0:08:06 > 0:08:08You nearly knocked me over!
0:08:08 > 0:08:11- Jacob, I'm so sorry. It's all my fault.- Sorry.
0:08:13 > 0:08:15Where are you lot taking these anyway?
0:08:15 > 0:08:16Old training room, Ethan said.
0:08:16 > 0:08:18CDU, he called it.
0:08:18 > 0:08:20- New area in the department. - CDU?- Mm-hm.
0:08:23 > 0:08:24Oh, really.
0:08:26 > 0:08:27That's a good start.
0:08:29 > 0:08:31Come on, then.
0:08:31 > 0:08:32Are you serious?
0:08:32 > 0:08:35I cannot have a repeat of what happened with Kam Kainth.
0:08:35 > 0:08:37It's winter, it's our busiest time.
0:08:37 > 0:08:39My hands are tied with staff and budgets.
0:08:39 > 0:08:42If you can think of a better way to introduce some departmental
0:08:42 > 0:08:44flexibility, for no additional spend...
0:08:44 > 0:08:45I'm all ears.
0:08:45 > 0:08:47It's not a vanity project, Jacob.
0:08:47 > 0:08:50Maybe not, but I bet no-one's tried to stop you.
0:08:50 > 0:08:52I mean, ED holding patients for longer, off the clock.
0:08:52 > 0:08:54What's not to love? For them.
0:08:54 > 0:08:58We cannot have any more trollies queuing in the corridors. OK?
0:08:58 > 0:09:00- Turning away ambulances. - With respect,
0:09:00 > 0:09:04- I think you're trying to make an impression with senior colleagues. - No, that is not I'm trying to do.
0:09:04 > 0:09:06No, no, I get all that.
0:09:06 > 0:09:07Duffy, Duffy!
0:09:13 > 0:09:17Ethan has decided to open up a CDU! The F1s will manage the patients.
0:09:17 > 0:09:20- You've done what?! - It's a holding area.
0:09:20 > 0:09:22It helps us. It adds capacity.
0:09:22 > 0:09:25More capacity with the same staff.
0:09:25 > 0:09:27And where are the beds?
0:09:27 > 0:09:30There are no beds, its trollies and chairs.
0:09:30 > 0:09:33Patients still need nursing, whatever position they're in.
0:09:33 > 0:09:34And I know what position you're putting us in.
0:09:34 > 0:09:36So who looks after them? They'll need water?
0:09:36 > 0:09:39And will you be out collecting pizzas?
0:09:39 > 0:09:42OK, I'm sensing some resistance...
0:09:42 > 0:09:45Because it doesn't work, Ethan.
0:09:45 > 0:09:48- We've tried it. - Actually no, you haven't.
0:09:48 > 0:09:50Not with me in charge.
0:09:50 > 0:09:53So you know better than Mrs Beauchamp?
0:10:04 > 0:10:07Oh, excuse me. Dr Dashing...
0:10:07 > 0:10:09Not Dash. It's Rash.
0:10:09 > 0:10:11Rash. Like a rasher.
0:10:11 > 0:10:12A sizzling rasher.
0:10:12 > 0:10:15Ooh. I could kill a bacon sandwich.
0:10:15 > 0:10:18I haven't had my breakfast. Anyway.
0:10:18 > 0:10:19I want to check.
0:10:19 > 0:10:21You will look after me, won't you?
0:10:21 > 0:10:25Because this doesn't fill me with confidence.
0:10:25 > 0:10:27And you do seem rather busy...
0:10:27 > 0:10:29Oh, don't worry, the papers have exaggerated.
0:10:29 > 0:10:31You're definitely in safe hands here.
0:10:31 > 0:10:35- And your ECG is fine.- Right.
0:10:35 > 0:10:38We might be able to send you back to the care home soon then, Matilda.
0:10:38 > 0:10:40Oh!
0:10:40 > 0:10:44Could I get two minutes with anyone who's free in the staff room, please?
0:10:44 > 0:10:47All right, won't be long.
0:10:47 > 0:10:48Thank you.
0:10:53 > 0:10:55Hey, have you heard?
0:10:55 > 0:10:58Uh, no. Can it wait? Sorry.
0:10:58 > 0:10:59Sure.
0:10:59 > 0:11:02I just thought you'd want some good news.
0:11:02 > 0:11:04Yeah. What is it?
0:11:04 > 0:11:08Kam Kainth. He's much improved.
0:11:08 > 0:11:11Right, OK. Thank you.
0:11:13 > 0:11:18Uh, OK. I'm going to keep this super brief because we're all very busy.
0:11:18 > 0:11:23We're going to be trialing a new arrangement for the next couple of weeks, OK?
0:11:23 > 0:11:25I want to establish a Clinical Decision Unit
0:11:25 > 0:11:28up in the old training room as a means of increasing capacity,
0:11:28 > 0:11:31but also taking some pressure off all of us.
0:11:31 > 0:11:33And I'd like the F1s to look after it.
0:11:33 > 0:11:35It's chairs and trollies.
0:11:35 > 0:11:38No beds and it's effective immediately.
0:11:38 > 0:11:40- What? No, no.- What? No, no, no!
0:11:40 > 0:11:41I know it'll be a struggle
0:11:41 > 0:11:44but it's imperative that we make some changes now.
0:11:44 > 0:11:47Ethan... We don't have protocols in place.
0:11:47 > 0:11:50I want to see what works and then we'll write it up afterwards.
0:11:50 > 0:11:52We'll keep talking and work it out together.
0:11:52 > 0:11:56Yeah? Can I have quick word?
0:11:58 > 0:12:01I can say with some certainty that this...
0:12:01 > 0:12:04Well, the CDU is designed to be boring.
0:12:04 > 0:12:07If it turns out it's fun, then something's gone drastically wrong.
0:12:07 > 0:12:12Sorry, but let's call it educational. Yeah? Thanks
0:12:15 > 0:12:17Nearly done, Colin.
0:12:17 > 0:12:19SHE CHUCKLES
0:12:19 > 0:12:22I've gone and made you all One Direction.
0:12:22 > 0:12:26Ooh. Ah.
0:12:26 > 0:12:29Val! Where's the pain? Magda, call an ambulance!
0:12:29 > 0:12:31I've got you, it's all right, Colin.
0:12:31 > 0:12:34Go and sit down, here you go, here you go. That's it
0:12:37 > 0:12:39Iain! Good.
0:12:39 > 0:12:42- It's gone. Where can I get another? - Slow down. What's gone?
0:12:42 > 0:12:45My wheelchair! I'm meant to be moving this old lady.
0:12:45 > 0:12:48I put it outside the toilet because sometimes you've got to pee.
0:12:48 > 0:12:49Came out and someone's nicked it.
0:12:49 > 0:12:51Well, welcome to the fully funded NHS.
0:12:51 > 0:12:53Schoolboy error. Wheelchairs are rare.
0:12:53 > 0:12:57- So other porters hide them. - Don't be daft.
0:12:57 > 0:13:00- Because if they don't, somebody nicks them.- This is a hospital.
0:13:00 > 0:13:02I'm on my lunch soon, if you want a hand...
0:13:02 > 0:13:06- with your quest.- No! No. I'm fine, I just...
0:13:06 > 0:13:08Control to 3006. Please respond, over.
0:13:08 > 0:13:103006. Go ahead.
0:13:10 > 0:13:12RTC on Auborn Way. One female injured still in vehicle.
0:13:12 > 0:13:16There it is. Oi! You!
0:13:16 > 0:13:18Received and en route. Over.
0:13:18 > 0:13:23Thanks very much. Uh, Valerie Clerk.
0:13:23 > 0:13:26Non-smoker. No history of cardiac problems.
0:13:26 > 0:13:28- Nothing in the family. - So this isn't a heart attack...
0:13:28 > 0:13:30See the man in the ambulance said...
0:13:30 > 0:13:33I don't think it's a heart attack, Valerie,
0:13:33 > 0:13:35but we'll do a troponin test... A blood test, to be sure.
0:13:35 > 0:13:38What then? Angina? I've never had angina.
0:13:38 > 0:13:40Try not to worry, Val. I'm sure it'll be fine.
0:13:40 > 0:13:42Could be musculoskeletal?
0:13:42 > 0:13:44Let's repeat ECG, wait for the bloods
0:13:44 > 0:13:46and keep her on half-hourly obs.
0:13:46 > 0:13:48Possibly a candidate for CDU.
0:13:48 > 0:13:51- Frees up a bed.- Shouldn't we treat the patient first?
0:13:51 > 0:13:53That's why I said possibly.
0:13:53 > 0:13:56You have a Matilda Dunford here, one of our ladies.
0:13:56 > 0:14:00- Your ladies?- Burwell Nursing Home. I'm the Nurse Manager there.
0:14:00 > 0:14:03We were told to expect Matilda back but she hasn't turned up yet.
0:14:03 > 0:14:06- Ah.- I'm really sorry. I'm not quite sure what's happened.
0:14:06 > 0:14:09- Let me find out.- Thank you. - Yeah, all right, thanks.
0:14:09 > 0:14:13Oh! I forgot my magic bag, Maxie.
0:14:13 > 0:14:15She means her make-up bag.
0:14:15 > 0:14:18- Our resident beautician here - Former life.
0:14:18 > 0:14:19I'm sure you don't need it, Val.
0:14:19 > 0:14:23Some of us need to gild our God-given, Maxine.
0:14:23 > 0:14:25Don't all have your bone structure.
0:14:25 > 0:14:29- Maybe you could just pull the curtains a tad then, hey?- Sure, yeah.
0:14:31 > 0:14:35Oh! Is that blood?
0:14:35 > 0:14:37Sorry, I'll get a cleaner.
0:14:38 > 0:14:41As bad as Burwell Park! No offence, Maxine.
0:14:41 > 0:14:44I'll be damned if I'm skivvying for the company as well.
0:14:44 > 0:14:45I give them enough free shifts as it is.
0:14:45 > 0:14:49- Oh, no, I didn't mean... - I'm just going to get a coffee, Val.
0:14:51 > 0:14:54She'd do anything for you, that one.
0:14:54 > 0:14:56Lovely girl.
0:14:56 > 0:14:59Where's the transfer ambulance, Noel? I've been waiting there 20 minutes.
0:14:59 > 0:15:01There you are! They've called to say they got fed up of waiting.
0:15:01 > 0:15:04- They've gone.- What? But I was there. How could they have missed me?
0:15:04 > 0:15:06That's exactly what I'm wondering.
0:15:06 > 0:15:08I was at the Ambulance Station.
0:15:08 > 0:15:10Well, you should have gone to the main entrance.
0:15:10 > 0:15:13- No-one said!- For a transfer? Isn't it obvious?
0:15:13 > 0:15:16- Obviously her brother wasn't around to ask.- Mm-hm.
0:15:16 > 0:15:19What? Well, I don't need to ask him.
0:15:19 > 0:15:22I rather enjoyed the fresh air.
0:15:22 > 0:15:26Outside. For 20 minutes? Are you sure you're OK, you're not cold?
0:15:26 > 0:15:29I'm fine. Well.
0:15:29 > 0:15:32- Maybe a little short on my breath. - Right. Well.
0:15:32 > 0:15:36Best to get you checked over, just in case.
0:15:36 > 0:15:39Porters are meant to make our life easier, Gem,
0:15:39 > 0:15:42- and you're not doing that so far. - Oh, come on. It's her first day.
0:15:42 > 0:15:45They never told us where we should wait anyway.
0:15:49 > 0:15:51This is Emma Edmonds, 24.
0:15:51 > 0:15:53She's suffered a previous spinal injury which left her
0:15:53 > 0:15:55paralysed from around T6.
0:15:55 > 0:15:58About 20 minutes ago, she was driving an adapted car which was
0:15:58 > 0:16:02hit side-on by another driver - not a big impact - but a glancing blow.
0:16:02 > 0:16:04First lesson.
0:16:04 > 0:16:05It wasn't my fault though.
0:16:05 > 0:16:07Emma was complaining of a headache on scene.
0:16:07 > 0:16:08But there's no injuries found.
0:16:08 > 0:16:10We didn't board her as she couldn't tolerate it.
0:16:10 > 0:16:12No other history.
0:16:12 > 0:16:16- Mum says she's on medication and has written down and she has no allergies.- OK.
0:16:16 > 0:16:18Hi, Emma, I'm Doctor Gardner.
0:16:18 > 0:16:21I'd like to examine your spine, so hopefully,
0:16:21 > 0:16:23we can remove those blocks and make you more comfortable.
0:16:23 > 0:16:251g of paracetamol, IV, please.
0:16:25 > 0:16:28That won't touch this. It's a seven.
0:16:28 > 0:16:30I know about pain scoring, yeah.
0:16:30 > 0:16:33- Are you OK with morphine? - Hook me up!
0:16:33 > 0:16:36Let's get 5mg of morphine instead.
0:16:36 > 0:16:40Robyn, she has also has a suprapubic catheter that she's a little
0:16:40 > 0:16:42sensitive about.
0:16:42 > 0:16:44I've checked the bag and it's only half full.
0:16:44 > 0:16:45OK, thank you.
0:16:45 > 0:16:47I'm sure everything will be fine, Emmy.
0:16:47 > 0:16:50- That's what you said last time! - Last time?
0:16:51 > 0:16:54Emma was paralysed in a car accident.
0:16:54 > 0:16:56I was driving.
0:16:56 > 0:16:58And texting.
0:17:00 > 0:17:03- You've got something to say?- Me?
0:17:03 > 0:17:06No, I was just thinking how difficult it must be for both of you.
0:17:06 > 0:17:12- You think? It's OK, Mum. - Course it's not OK.
0:17:13 > 0:17:15I wasn't driving this time, though.
0:17:15 > 0:17:17First lesson and I get shunted.
0:17:17 > 0:17:21- And now my mother will freak out every time.- It's OK.
0:17:21 > 0:17:25We're not lost, we're taking the scenic route!
0:17:25 > 0:17:28But I need to be able to drive.
0:17:28 > 0:17:31I've been accepted by Cambridge to read Natural Sciences.
0:17:31 > 0:17:33And I am not taking my mother.
0:17:33 > 0:17:36Congratulations, young lady.
0:17:36 > 0:17:39- That's very impressive.- Thanks. - Cambridge, yeah?
0:17:39 > 0:17:42- It's brilliant.- Bye-bye.
0:17:42 > 0:17:44I'm off to the CDU.
0:17:44 > 0:17:46I'm hoping it's a bit like a seedy bar.
0:17:46 > 0:17:48LAUGHTER
0:17:48 > 0:17:50I'll see you there if it is. Is everything all right?
0:17:50 > 0:17:53- Yeah, fine. Stop asking. - I'm only trying to help.
0:17:53 > 0:17:56Yeah, well, I don't want people thinking I need your help.
0:17:56 > 0:17:58If we could have some focus please!
0:17:58 > 0:18:00Iain, can you take Emma's head so we can remove the blocks.
0:18:00 > 0:18:03- Emma, I need to do a full examination, OK?- Mum,
0:18:03 > 0:18:06- go get a coffee or something. - I'm staying, I'm fine
0:18:08 > 0:18:12There she is, hands all over my beau.
0:18:12 > 0:18:13You what?
0:18:13 > 0:18:16It's just us oldies having a bit of fun, sweetie.
0:18:16 > 0:18:20- Hey, less of the "old", you. - Well, back off the boyfriend then.
0:18:20 > 0:18:23Mrs Dunford, in this chair, if you can.
0:18:23 > 0:18:25Hello, Matilda, love.
0:18:25 > 0:18:27Maxie. Nice to see you.
0:18:27 > 0:18:30- How are you feeling?- Better.
0:18:30 > 0:18:32I'm glad I missed my ride though.
0:18:33 > 0:18:35This is Matilda Dunford...
0:18:35 > 0:18:37Yeah, I know. We've met.
0:18:37 > 0:18:40I'm sorry Matilda. I had no idea.
0:18:40 > 0:18:42I'll withdraw gracefully.
0:18:42 > 0:18:44You take your best shot.
0:18:44 > 0:18:48He's not interested in the fuller-figured lady.
0:18:48 > 0:18:51I need more of your Slender and Lovely programme, Val.
0:18:51 > 0:18:52Drop a few more pounds.
0:18:52 > 0:18:54"Slender and Lovely programme"?
0:18:54 > 0:18:57Ooh, 'ark at big ears here.
0:18:57 > 0:19:00Hey, a lady doesn't reveal her beauty secrets.
0:19:00 > 0:19:03There's only so much you can cover up with make-up, ladies.
0:19:03 > 0:19:04Believe me, I've tried.
0:19:04 > 0:19:06It's like sausages.
0:19:06 > 0:19:09You wouldn't touch 'em if you knew how they were made.
0:19:09 > 0:19:10THEY LAUGH
0:19:10 > 0:19:14- She's right, you know. - You're new, right?- I am.
0:19:16 > 0:19:18- Gem.- Rash.
0:19:18 > 0:19:21First day. Still finding her feet.
0:19:21 > 0:19:24- Jen?- Gem.
0:19:24 > 0:19:28- Like the stone.- Ah. Gem...stone.
0:19:28 > 0:19:30Like a...rough diamond.
0:19:33 > 0:19:34You know me already.
0:19:34 > 0:19:38Oh, you really need to work on your smooth talk, Dr Dashing.
0:19:38 > 0:19:40Hey why don't you practice on me?
0:19:44 > 0:19:46- See you.- See you.
0:19:49 > 0:19:50Thanks.
0:19:52 > 0:19:54I know we're being all flexible with protocols
0:19:54 > 0:19:56but could you tell me what we do when the department's full,
0:19:56 > 0:19:58CDU's full and we have waiting trollies?
0:19:58 > 0:20:01- What do you mean full? - What do you think I mean, Ethan?
0:20:01 > 0:20:03CDU?
0:20:03 > 0:20:05Two that would normally go to Jac Naylor.
0:20:05 > 0:20:07Then Valerie Clerk and Matilda Dunford from Burwell Park.
0:20:07 > 0:20:09Oh, and another one that's just arrived by the way.
0:20:09 > 0:20:12So that's three in three hours, what's that about?
0:20:12 > 0:20:13Matilda Dunford?
0:20:13 > 0:20:15She missed her transport.
0:20:15 > 0:20:17This stuff happens every day.
0:20:17 > 0:20:18Or did you forget?
0:20:18 > 0:20:20Let me guess, boys, Burwell Park?
0:20:20 > 0:20:22We should fit a trailer. Save some diesel.
0:20:22 > 0:20:24- Tell me about it. - You went to Burwell Park?
0:20:24 > 0:20:25- Yeah.- Why?
0:20:25 > 0:20:27Thinking of buying a country pile? Match the new job?
0:20:27 > 0:20:29I wouldn't get that place.
0:20:29 > 0:20:30Heard they failed their CQC.
0:20:30 > 0:20:32Really?
0:20:32 > 0:20:36- Just don't accept the free lunch, that's all I'm saying.- OK, thanks.
0:20:36 > 0:20:39- Duffy...the two free beds in HDU? - Free?
0:20:39 > 0:20:43Do you want me to tell the patients currently occupying them or will you?
0:20:43 > 0:20:46Not the same ones? No, Jac Naylor should have taken them.
0:20:46 > 0:20:49Jac Naylor should do many things.
0:20:49 > 0:20:51Then they've breached!
0:20:51 > 0:20:56PEOPLE TALK OVER EACH OTHER
0:20:56 > 0:20:59BP's 105/60. Pulse is 55.
0:21:01 > 0:21:03- How's the headache now? - Better, I think.
0:21:03 > 0:21:07My hands are feeling a bit cold though.
0:21:07 > 0:21:10And what would you have done if you'd been on your own when this happened?
0:21:10 > 0:21:13I am not playing "what if" game, Mum. It never ends well.
0:21:13 > 0:21:15- Do you have kids?- I do.
0:21:15 > 0:21:18Is it always so hard to get them to do what's best for them?
0:21:18 > 0:21:21- Assuming you know what that is.- Ha!
0:21:21 > 0:21:24I'm just saying going to the local college would not be awful.
0:21:24 > 0:21:25Gets you a degree.
0:21:25 > 0:21:28Doesn't get you a Cambridge degree! Can we go now?
0:21:28 > 0:21:30I'm feeling better.
0:21:30 > 0:21:33- I might have overreacted. - If you don't mind,
0:21:33 > 0:21:351I'd like to keep you here a little bit longer.
0:21:35 > 0:21:40- I hate hospitals. Sorry. No offence. - None taken.
0:21:40 > 0:21:43There's days, I'm not so keen myself.
0:21:43 > 0:21:44Your BP is normal.
0:21:44 > 0:21:48I'd just like to establish why your heart rate is so low.
0:21:48 > 0:21:51- Low heart rate!?- Mum. It's just the accident, surely?
0:21:51 > 0:21:54Adrenaline or something. I'm OK.
0:21:54 > 0:21:57That would normally have the opposite effect.
0:21:57 > 0:21:59So it's best to check. I won't be long.
0:22:01 > 0:22:04I'm concerned about that headache and now these obs.
0:22:04 > 0:22:07I'm going to speak to a spinal specialist.
0:22:07 > 0:22:09- Will you keep an eye on her? - Yeah, sure thing.
0:22:11 > 0:22:13I still have patients in my HDU!
0:22:14 > 0:22:17Miss Naylor, you said you were going to take my diagnostic angios.
0:22:17 > 0:22:22- No.- No? We had a conversation about it a couple of hours ago.
0:22:22 > 0:22:24I said I'd look into it. I did.
0:22:24 > 0:22:26We can't.
0:22:26 > 0:22:28The deal's off. You can do your own assessments.
0:22:28 > 0:22:31Flip-flopping on department policy within hours,
0:22:31 > 0:22:32throwing the system into chaos.
0:22:32 > 0:22:36Not something I'd recommend especially with the Trust breathing down your neck.
0:22:36 > 0:22:41Oh, haven't you heard? It's your job to find out who the anonymous blogger is? Tick tock.
0:22:41 > 0:22:44Now, if there's nothing else you'd like to consult me on?
0:22:55 > 0:22:59- Maxine, isn't it? Can I have a quick word please?- Of course.
0:22:59 > 0:23:02Um, I think there's a public health issue in your care home.
0:23:02 > 0:23:03An issue?
0:23:03 > 0:23:05I'm not exactly sure what at the moment.
0:23:05 > 0:23:08But there's been too many cases in too short a time.
0:23:08 > 0:23:09Too many? From a care home?
0:23:09 > 0:23:13- In winter? It's norovirus season. - There's no norovirus.
0:23:13 > 0:23:15This is three cases in three hours. They're all cardiac.
0:23:15 > 0:23:17You can't just start throw accusations around like that.
0:23:17 > 0:23:19It could well be a coincidence.
0:23:19 > 0:23:22Yes, but another possibility is it's the misadministration of drugs.
0:23:22 > 0:23:26- I'm not pointing fingers. This kind of thing happens.- No.
0:23:26 > 0:23:29No? You seem awfully sure...
0:23:29 > 0:23:31- I understand you've been having your own problems.- Excuse me?
0:23:31 > 0:23:33There's no need to project them onto me.
0:23:33 > 0:23:35I hope for your sake it's not an infection control problem?
0:23:35 > 0:23:39- I know that you failed your CQC. - Ethan, maybe not the time and place?
0:23:39 > 0:23:42And I've been reading some pretty disturbing things about your department!
0:23:42 > 0:23:46I am trying to help you understand that another bad report will close your care home.
0:23:46 > 0:23:49There's nothing going on in Burwell Park that I'm not on top of.
0:23:49 > 0:23:51Shame I can't say the same about you.
0:23:51 > 0:23:53You do your job, Doctor.
0:23:53 > 0:23:57I'll do mine. Sorry about that, Valerie.
0:24:03 > 0:24:05Toilets aren't as clean as I'd like.
0:24:05 > 0:24:07Thanks for sharing.
0:24:07 > 0:24:09Can you go outside and call the driving school to rearrange?
0:24:09 > 0:24:12- I can't use my phone in here. - Oh, but...
0:24:12 > 0:24:14But what? They hit me.
0:24:14 > 0:24:16I did nothing wrong.
0:24:16 > 0:24:18I can't let somebody else's driving put me off.
0:24:18 > 0:24:20But why so soon? Give yourself some breathing space.
0:24:20 > 0:24:23That's exactly what I'm trying to do!
0:24:23 > 0:24:24Don't you mean get away from me?
0:24:24 > 0:24:27That's kind of what independent means, Mum.
0:24:27 > 0:24:29Yeah, I know! It's just...
0:24:31 > 0:24:34Oh, you're too young to understand.
0:24:34 > 0:24:37It's called empty nest syndrome.
0:24:37 > 0:24:39I understand well enough.
0:24:39 > 0:24:41But this is worse because of..
0:24:43 > 0:24:45Because of your guilt.
0:24:45 > 0:24:47But I shouldn't suffer because of it.
0:24:47 > 0:24:49Suffer?! That is so unfair.
0:24:49 > 0:24:51You are still my baby girl.
0:24:51 > 0:24:52I would do anything for you.
0:24:52 > 0:24:56How about we start with you doing nothing at all?
0:24:56 > 0:24:58- What are you doing?- Dress rehearsal!
0:24:58 > 0:25:01- Is everything OK?- Not really.
0:25:01 > 0:25:03My mother thinks she knows what's best for me.
0:25:03 > 0:25:06OK. I do think it's best that you stay here.
0:25:06 > 0:25:09- Dr Gardner was very...- I'm fine. Excuse me.- Where are you going?
0:25:09 > 0:25:13- To be on my own. - Have you got your phone? Emmy!
0:25:18 > 0:25:20KNOCK ON DOOR
0:25:22 > 0:25:23- Hi.- Hey.
0:25:26 > 0:25:28I heard.
0:25:28 > 0:25:34Right, professional, wasn't it? Wonder if that'll make the blog?
0:25:34 > 0:25:37Clinical Lead shouts at a room full of old ladies.
0:25:37 > 0:25:39It doesn't.
0:25:39 > 0:25:41Has there been a new entry?
0:25:42 > 0:25:45Ethan, it doesn't criticise you personally.
0:25:50 > 0:25:54Moving sick people into a CDU won't help systemic problems.
0:25:54 > 0:25:56Like moving deck chairs on the Titanic.
0:25:56 > 0:25:58The NHS is sinking.
0:26:00 > 0:26:02That was my initiative.
0:26:02 > 0:26:05That is a direct criticism.
0:26:05 > 0:26:08It doesn't mention you, it's talking about the department.
0:26:08 > 0:26:09Yeah, that I'm running.
0:26:10 > 0:26:12This all started when I took charge.
0:26:12 > 0:26:17The blog started in winter, the worst time for the NHS.
0:26:17 > 0:26:20I know you senior medics think that the world revolves around you.
0:26:20 > 0:26:22But maybe there's a bigger picture?
0:26:22 > 0:26:23It's only my bit they're writing about.
0:26:23 > 0:26:26You've just skimmed it. I read it.
0:26:26 > 0:26:30I think it's about staff trying their hardest.
0:26:30 > 0:26:32And failing.
0:26:37 > 0:26:39We all have bad days, Ethan.
0:26:40 > 0:26:42Bad days...
0:26:43 > 0:26:46..bad weeks, bad months.
0:27:01 > 0:27:04- Hey. Can I smoke out there? - No, I don't think so.
0:27:32 > 0:27:34SHE SIGHS
0:27:40 > 0:27:42So how's it going?
0:27:42 > 0:27:46I'm going to go see if there's a recently painted wall I can watch.
0:27:48 > 0:27:51- Hello, ladies.- Hello.- Hello.
0:27:53 > 0:27:55So, Matilda, how you feeling?
0:27:55 > 0:27:57- Terrible.- Really?
0:27:57 > 0:27:59One left.
0:27:59 > 0:28:01I never managed to finish a cryptic.
0:28:01 > 0:28:03OK. Try me.
0:28:03 > 0:28:05Ooh, don't say that to a girl!
0:28:05 > 0:28:06THEY LAUGH
0:28:06 > 0:28:10- I meant the clue!- Right. OK. Six down.
0:28:10 > 0:28:11Exhausted postman.
0:28:11 > 0:28:14What, exhausted postman? Is that it?
0:28:14 > 0:28:16That's what it says. Exhausted postman.
0:28:16 > 0:28:19Exhausted postman? How many letters?
0:28:19 > 0:28:22- Millions!- That's why he's exhausted!
0:28:22 > 0:28:24That's terrible!
0:28:26 > 0:28:27Oh...
0:28:29 > 0:28:30Come on, Mrs Dunford.
0:28:30 > 0:28:32I'm not on the menu...
0:28:34 > 0:28:37Duffy! Duffy, her pulse is irregular.
0:28:37 > 0:28:39We need an ECG. Resus now!
0:28:39 > 0:28:42- Just lay back.- That's it. Easy does it. That's it. Slowly.
0:29:16 > 0:29:19It's Pearl. She has chest pains. I've called an ambulance.
0:29:21 > 0:29:24- What happened?- It's Matilda Dunford. - She just went off, Doctor Hardy.
0:29:24 > 0:29:26Her pulse is irregular. She's struggling to breathe.
0:29:26 > 0:29:27OK, bay three, please.
0:29:27 > 0:29:32- Maybe if we weren't doing blood tests for Jac Naylor, we'd have had time to ...- OK, thank you. Not now.
0:29:32 > 0:29:34Do ABCs before we transfer her.
0:29:38 > 0:29:40I'm sorry. I have to, um...
0:29:42 > 0:29:45OK. I'm just going to have a listen to your chest.
0:29:56 > 0:30:02SHE BREATHES HEAVILY
0:30:18 > 0:30:22Yes, thank you, where's Emma? I need to talk to her.
0:30:22 > 0:30:25I've been calling her for ages. But it's just going to voicemail.
0:30:25 > 0:30:28- She went to be on her own for a bit. - Well, we need to find her...
0:30:28 > 0:30:30- Why? What's the matter? You said everything...- Mrs Edmunds,
0:30:30 > 0:30:34- have you heard of something called autonomic dysreflexia?- Maybe...
0:30:34 > 0:30:37- When she was in the Spinal Unit... - I think it matches Emma's symptoms.
0:30:37 > 0:30:41The headache, the cold hands, low heart rate.
0:30:41 > 0:30:44If untreated, it can be very serious but it's fairly simple to...
0:30:44 > 0:30:47- But she said the headache was better...- I know she did.
0:30:47 > 0:30:49But I think the morphine may have masked it.
0:30:49 > 0:30:54And her BP... In spinal injury patients, it's often lower.
0:30:54 > 0:30:56What looks normal is elevated for her.
0:30:56 > 0:30:59She seemed OK when she left.
0:30:59 > 0:31:02Just stay here, she'll probably come back.
0:31:03 > 0:31:05We need to find her.
0:31:07 > 0:31:09Anything I can help with?
0:31:09 > 0:31:11Um, yes, please
0:31:13 > 0:31:16Great. Something educational happens and...
0:31:16 > 0:31:17I am out of the room.
0:31:17 > 0:31:21You mean Matilda collapsing? Careful what you wish for, doctor.
0:31:21 > 0:31:24Oh, come on, I didn't mean I want stuff to happen.
0:31:24 > 0:31:25Sounded a bit like that.
0:31:28 > 0:31:29Valerie.
0:31:34 > 0:31:40I think she's arrested! Jacob! Jacob!
0:31:44 > 0:31:46SHE GASPS
0:31:46 > 0:31:48Valerie, are you OK?
0:32:17 > 0:32:21Hello? HELLO? I need some help.
0:32:29 > 0:32:34SHE BREATHES HEAVILY
0:32:50 > 0:32:53I've just arrived with another resident. Same symptoms.
0:32:53 > 0:32:55- OK, that's four now. - But to confirm...
0:32:55 > 0:32:57Not only has there been no admin cockup,
0:32:57 > 0:32:59none of these patients have any medications in common.
0:32:59 > 0:33:01And Valerie isn't even on anything.
0:33:01 > 0:33:03Maxine, I didn't mean to make things personal.
0:33:03 > 0:33:05Really, it felt like you did.
0:33:05 > 0:33:07We've moved Colin to the ward.
0:33:07 > 0:33:09Valerie and Matilda are in Resus.
0:33:09 > 0:33:12OK, they both suffered severe cardiac events.
0:33:12 > 0:33:14Now, Valerie's condition seems stable.
0:33:14 > 0:33:17But, Matilda, her condition is very poor.
0:33:17 > 0:33:23- What is this?- I don't know but it must be exposure to something common.
0:33:23 > 0:33:27- Could be chemicals? Have they been spraying the fields round you?- No.
0:33:27 > 0:33:31- Could be something in the water? - We're connected to the mains like the rest of Holby.
0:33:31 > 0:33:34OK. Something that interferes with their electrolytes,
0:33:34 > 0:33:36that affects their cardiac rhythm...
0:33:36 > 0:33:41I know that sounds daft but is there anything you think it could be?
0:33:41 > 0:33:44No. Can I see them?
0:33:45 > 0:33:48Yes, of course, just briefly.
0:33:52 > 0:33:55- So um, you've checked the ladies, obviously?- Just did.
0:33:55 > 0:33:59Nah, I haven't seen her. But, then again, if she's sat in a wheelchair,
0:33:59 > 0:34:02- and I'm sat behind my desk... You get my drift?- OK, thanks, Noel.
0:34:02 > 0:34:05Call security? Get them to check the CCTV?
0:34:05 > 0:34:08Right guys, now, listen up.
0:34:08 > 0:34:09We're looking for a patient.
0:34:09 > 0:34:10Emma Edmonds, 24.
0:34:10 > 0:34:12She's a wheelchair user. This is serious.
0:34:12 > 0:34:17- She's wearing a purple hoodie. - We start from outside then move in. - Jacob?
0:34:20 > 0:34:23Gemma, that's not the right direction.
0:34:23 > 0:34:25Yeah, well I told her she couldn't smoke out there.
0:34:25 > 0:34:28- I'm sure she turned around...- Come on, they asked you to check outside.
0:34:28 > 0:34:30- Yeah, and she could die.- Possibly. If you stand here arguing.
0:34:30 > 0:34:32I'm going to the basement. That's where I'd go.
0:34:32 > 0:34:36- Gemma, you can't just get to do whatever you want.- And you don't get to tell me what to do.- I didn't.
0:34:36 > 0:34:40- Your boss did.- Yeah, well, I don't care. She could die.
0:34:40 > 0:34:42Gemma! Where you going?
0:34:45 > 0:34:47- How you feeling?- Oh, I'm OK.
0:34:49 > 0:34:53- How is she?- They're not saying much. Try not to stress about it.
0:34:53 > 0:34:57I bet I look a sight! Oh, is that my bag?
0:34:57 > 0:35:00- Pass my compact, would you? - What now?
0:35:00 > 0:35:04It's in the pocket. Oh. No! Not that one.
0:35:06 > 0:35:09- What are these?- No idea. - They're in your bag, Val.
0:35:09 > 0:35:13Oh. Nothing. Just slimming pills.
0:35:13 > 0:35:15- This is your "slender and lovely" programme?- Yeah
0:35:15 > 0:35:17So Matilda's on these? Who else?
0:35:17 > 0:35:20- It's really none of your business. - Of course it is!
0:35:20 > 0:35:22Hey. What are these?
0:35:22 > 0:35:24Slimming pills.
0:35:24 > 0:35:27Sibutramine? Has Matilda taken these?
0:35:27 > 0:35:29Yes. And Colin.
0:35:29 > 0:35:32And Pearl? The paramedics just brought her in.
0:35:32 > 0:35:39- Pearl?! We've been taking them for months.- Months!- In a care home?
0:35:39 > 0:35:43We're not so mobile so it helps keep the weight off.
0:35:43 > 0:35:44They're from a good company.
0:35:44 > 0:35:47They came guaranteed safe.
0:35:47 > 0:35:48Right, Jacob.
0:35:48 > 0:35:51Can you check Toxbase, please, for Sibutramine?
0:35:51 > 0:35:54I think they were withdrawn for causing cardiac problems.
0:35:54 > 0:35:57- She's asystolic. - OK, let's get the arrest trolley
0:35:57 > 0:35:59Start compressions...
0:36:07 > 0:36:09No? Well, where the is she, then?
0:36:09 > 0:36:11We have all the security and the porters out looking for her.
0:36:11 > 0:36:15But what if she's collapsed? What if she's unconscious?
0:36:19 > 0:36:21Hello? Emma?!
0:36:35 > 0:36:37Emma? Hello?
0:36:39 > 0:36:42- DISTORTED:- Emma. It's Gem.
0:36:42 > 0:36:46- Right, we're going to have to get you upstairs.- Ah...
0:36:46 > 0:36:48I'm trying to help you. OK?
0:36:54 > 0:36:55Shall I take over?
0:37:01 > 0:37:03It's been two minutes since adrenaline.
0:37:03 > 0:37:05Can we do a pulse check, please?
0:37:06 > 0:37:09MACHINE BLEEPS
0:37:09 > 0:37:14She's still asystolic and hasn't responded to CPR or adrenaline.
0:37:14 > 0:37:15We've covered all the reversible causes.
0:37:15 > 0:37:18- Still no output. - I think we should call it.
0:37:18 > 0:37:21- Everyone in agreement.- Yeah. - Yeah.
0:37:21 > 0:37:25- Sister Duffin.- Time of death 14:53.
0:37:25 > 0:37:29No! No, no, no.
0:37:43 > 0:37:45BELL RINGS
0:37:46 > 0:37:47Come on!
0:37:47 > 0:37:49BELL RINGS
0:37:51 > 0:37:53There's no way I can carry you, Emma, sorry.
0:38:00 > 0:38:01Come on, Emma. Hang in there.
0:38:04 > 0:38:05BELL RINGS
0:38:09 > 0:38:12- How many more?- Nine.
0:38:12 > 0:38:14- Including the four here?- Nine more.
0:38:16 > 0:38:19It's been confirmed that Sibutramine causes cardiac problems
0:38:19 > 0:38:20and interferes with meds.
0:38:20 > 0:38:23- You said there wasn't a drugs issue.- What about you?
0:38:23 > 0:38:26Moving elderly patients on reclining chairs!
0:38:26 > 0:38:27No proper monitoring.
0:38:27 > 0:38:29They've been taking it for months.
0:38:29 > 0:38:31Would it have made any difference?
0:38:31 > 0:38:34- I don't know but I have to inform the authorities.- Of course.
0:38:34 > 0:38:38Can I get some help, please?!
0:38:38 > 0:38:41- This is Emma, she's really sick. - OK. Bay one, please.
0:38:41 > 0:38:44- Elle's missing patient. - Her pulse is really slow.
0:38:44 > 0:38:45- That's all I know. - You checked her pulse?
0:38:45 > 0:38:49- Wouldn't you?- OK. Can we get her on to the bed?- Yeah.
0:38:52 > 0:38:55- But why is no-one telling me anything?- We've just had a call.
0:38:55 > 0:38:57Gem found her. She's in Resus.
0:39:01 > 0:39:02Oh, well done, Gem!
0:39:02 > 0:39:05OK, let's get a gown on, the monitors on.
0:39:05 > 0:39:06- IV access... - Do you know what's causing this?
0:39:06 > 0:39:09Yeah, there it is. Look, the T6 boundary.
0:39:09 > 0:39:13That confirms it. She has autonomic dysreflexia.
0:39:13 > 0:39:16It's a hypertension caused by the involuntary nervous system
0:39:16 > 0:39:19overreacting to external or bodily stimuli.
0:39:19 > 0:39:20OK, what's the trigger?
0:39:20 > 0:39:23Any number of things. Most commonly the bladder.
0:39:23 > 0:39:25Her catheter bag is only half full.
0:39:25 > 0:39:26How long ago was it last changed?
0:39:26 > 0:39:28I didn't get a chance before she left.
0:39:28 > 0:39:30Not since this morning, then.
0:39:30 > 0:39:32Her bladder feels distended. Must be a blocked catheter.
0:39:32 > 0:39:36OK, I need a bladder syringe and some sterile water, please.
0:39:36 > 0:39:41- Thanks, Elle.- I told you not to go off! I told you to stay.
0:39:41 > 0:39:44Doctor, you can't blame her. She didn't know.
0:39:46 > 0:39:49- If you can't manage then... - Shouldn't be a manager?
0:39:50 > 0:39:55I'm so sorry. I didn't realise.
0:39:55 > 0:39:57And she was fine this morning.
0:39:57 > 0:40:04- She didn't say a word.- OK. - I didn't know...- It's all right.
0:40:07 > 0:40:09Can we keep up the cardiac monitoring, please?
0:40:13 > 0:40:15- I'll be back in a minute.- Yeah.
0:40:17 > 0:40:20There we go. It's flowing again.
0:40:20 > 0:40:24We should start to see some improvement very quickly.
0:40:26 > 0:40:29- Mum?- Oh, sweetheart!
0:40:40 > 0:40:41Ethan, there was nothing more we could have done
0:40:41 > 0:40:44and I will fight anyone who says different.
0:40:47 > 0:40:51- Maybe Duffy was right.- About what?
0:40:55 > 0:40:57What's the blog going to say?
0:41:01 > 0:41:03Who do you think is behind it?
0:41:05 > 0:41:07I have no idea.
0:41:16 > 0:41:21- Gem, thank you so much.- Can I? - No. That's not necessary.
0:41:21 > 0:41:25- I was just doing my job. - Doing it well.- Please take it.
0:41:25 > 0:41:28- It was just lucky.- No. I know what you did.
0:41:28 > 0:41:31Couldn't tell my boss that, could you?
0:41:31 > 0:41:33I've been telling everybody.
0:41:35 > 0:41:38Yeah. Lucky.
0:41:39 > 0:41:42So this could happen any time now?
0:41:42 > 0:41:45Well, we'll have to look after you better.
0:41:45 > 0:41:48Be a bit stricter about cleaning your catheter for a start.
0:41:48 > 0:41:50Thought I was going to die, Mum.
0:41:50 > 0:41:54Oh, Emmy, love. You're safe now.
0:41:55 > 0:41:58- I'm not going. Don't worry. - What? Where?
0:41:58 > 0:42:01Anywhere. Cambridge.
0:42:01 > 0:42:04- I'll stay at home. You were right. - But...- It's just not safe, is it?
0:42:05 > 0:42:07Oh, love.
0:42:22 > 0:42:23You were right,
0:42:23 > 0:42:28I should have known what was going on and I owe you an apology.
0:42:28 > 0:42:29No, you don't.
0:42:31 > 0:42:33I'm sure you were doing your best.
0:42:33 > 0:42:35But I'm still going to lose my job.
0:42:35 > 0:42:37They'll shut us down.
0:42:37 > 0:42:39- We won't survive this.- I'm sorry.
0:42:41 > 0:42:44I don't mind working hard...
0:42:44 > 0:42:46but sometimes it feels like they want us to fail.
0:42:57 > 0:43:00- Hi, Gem.- Look.
0:43:00 > 0:43:03I know it's not for me to say but...
0:43:03 > 0:43:06Emma, what happened today only happened
0:43:06 > 0:43:08because you didn't know about your condition.
0:43:08 > 0:43:10I'm not even going to try and pronounce it.
0:43:10 > 0:43:13But now you do you can research it, take proper precautions.
0:43:13 > 0:43:16I only didn't die because you found me.
0:43:16 > 0:43:19I only found you because you made a way of being found.
0:43:19 > 0:43:20She's a very clever girl.
0:43:20 > 0:43:22Woman, Mum. Remember?
0:43:22 > 0:43:24Exactly.
0:43:24 > 0:43:28And clever women should not turn down Cambridge.
0:43:28 > 0:43:29Your mum's had a fright.
0:43:29 > 0:43:32She loves you so she wants to hold you close.
0:43:34 > 0:43:36To be honest, I wish I had a mum like her.
0:43:36 > 0:43:40But you can't give in to it. You can't waste it.
0:43:40 > 0:43:44You can't live your life without taking some risks.
0:43:44 > 0:43:45Yeah, like taking a pee.
0:43:45 > 0:43:49And what happens when I'm not around? I won't be forever.
0:43:49 > 0:43:52- I thought you wanted me home?- I do.
0:43:52 > 0:43:55But you know what? When you're pushing to get away...
0:43:55 > 0:43:58it's so easy to try and hold on.
0:43:58 > 0:44:00But when you said you didn't want to go...
0:44:00 > 0:44:02That's not right.
0:44:02 > 0:44:04I can't do that to you.
0:44:04 > 0:44:07No, you are going to go to Cambridge.
0:44:07 > 0:44:10I'm going to Cambridge.
0:44:16 > 0:44:18Well done.
0:44:18 > 0:44:20- And I'm sorry...- No problem.
0:44:20 > 0:44:23You were doing what you thought was best for me, I know.
0:44:26 > 0:44:29- What's wrong?- I'm moving out, Iain.
0:44:29 > 0:44:33- I know you're just trying to protect me and that but...- I know.
0:44:33 > 0:44:35It was always going to be difficult, work, home,
0:44:35 > 0:44:37living in each others pockets
0:44:37 > 0:44:39but we're still trying to work things out.
0:44:39 > 0:44:41We kind of fix each other to the past.
0:44:41 > 0:44:43And I don't want to go back there.
0:44:43 > 0:44:45I want to stick with new Gem.
0:44:48 > 0:44:50OK, so when are you going?
0:44:50 > 0:44:53Not tonight or nothing. Not doing a flit.
0:44:53 > 0:44:56I'm actually want to get something that I can afford by myself.
0:44:56 > 0:44:59All right, it might be a ditch
0:44:59 > 0:45:02but if you ever want you can come round and do some ironing, though.
0:45:02 > 0:45:04You can get lost!
0:45:18 > 0:45:20I know this feeling.
0:45:23 > 0:45:24I'm not sure you do.
0:45:26 > 0:45:28Look, there's no point dwelling.
0:45:30 > 0:45:32Yeah, there's no point but...
0:45:34 > 0:45:38But there is a PINT...for you.
0:45:38 > 0:45:40If you want it. Elle's invite.
0:45:47 > 0:45:49Drink - yeah, but...
0:45:50 > 0:45:54- Company - no. Sorry- Hey.
0:45:58 > 0:46:00First do no harm.
0:46:02 > 0:46:04Tomorrow is another day, Ethan.
0:46:09 > 0:46:10For some of us.
0:46:17 > 0:46:20Shall we see what Rage in Resus has to say about this?
0:46:21 > 0:46:23Look...
0:46:25 > 0:46:27What about just me and you then?
0:46:29 > 0:46:32A garlic crust and a bad film?
0:46:38 > 0:46:40You haven't changed.
0:46:43 > 0:46:44I'd really like that, yeah.
0:47:08 > 0:47:11Subtitles by Red Bee Media