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It's over, Iain, I'm going to go hand myself in. | 0:00:02 | 0:00:06 | |
I promise I'll do you proud. | 0:00:06 | 0:00:07 | |
As of today, I am Clinical Lead of the department | 0:00:07 | 0:00:11 | |
You weren't my first choice but we were short of candidates | 0:00:11 | 0:00:14 | |
The hospital is officially full. | 0:00:14 | 0:00:17 | |
HTC and Resus only for those who absolutely need it. | 0:00:17 | 0:00:20 | |
We're going to have to put him in the corridor for now, | 0:00:20 | 0:00:22 | |
just for a minute. I'll get it sorted. | 0:00:22 | 0:00:23 | |
What has to happen before people start listening? | 0:00:23 | 0:00:26 | |
I'm doing my best. | 0:00:26 | 0:00:27 | |
Yeah, well, it's not good enough | 0:00:27 | 0:00:29 | |
Welcome to Holby FM. | 0:00:30 | 0:00:31 | |
Today, we are talking about Rage in Resus, | 0:00:31 | 0:00:34 | |
the controversial blog everyone is talking about. | 0:00:34 | 0:00:36 | |
The NHS is broken. | 0:00:36 | 0:00:38 | |
I'm quite surprised a doctor is talking like this about their own department. | 0:00:38 | 0:00:41 | |
News just in, the hospital in question has just been | 0:00:41 | 0:00:45 | |
revealed as Holby City Hospital. | 0:00:45 | 0:00:46 | |
I just cant believe this is happening in Holby, I use that hospital. | 0:00:46 | 0:00:50 | |
I'm not using Holby City any more, I'm going to St James'. | 0:00:50 | 0:00:53 | |
It really feels like the NHS is at breaking point now. | 0:00:53 | 0:00:56 | |
-Virgin. -Sorry? | 0:01:44 | 0:01:47 | |
Heads of Department meet. Your first? | 0:01:47 | 0:01:49 | |
-It's that obvious, is it? -Yes. | 0:01:50 | 0:01:53 | |
This is bad timing for you. | 0:01:53 | 0:01:55 | |
I assume you have a response to this? | 0:01:55 | 0:01:57 | |
-Something to answer the accusations. -Not answer, no. | 0:01:57 | 0:01:59 | |
But I have been looking at ways to increase department capacity and flexibility. | 0:01:59 | 0:02:04 | |
Really? But I thought you were already over budget? | 0:02:04 | 0:02:06 | |
Actually, this doesn't need any extra funding | 0:02:06 | 0:02:08 | |
and I think it could have a positive effect on the take wards. | 0:02:08 | 0:02:12 | |
It's a Clinical Decision Unit. Run by the F1s. | 0:02:12 | 0:02:15 | |
F1s! Ha! May as well hand toddlers some hammers and saws. | 0:02:15 | 0:02:22 | |
You're announcing the start of that today, are you? | 0:02:22 | 0:02:24 | |
Uh, no. Not yet. | 0:02:24 | 0:02:26 | |
It's not ready. I haven't finished the protocols and I haven't secured any more beds. | 0:02:28 | 0:02:32 | |
Well, there are no more beds. You know that. | 0:02:32 | 0:02:34 | |
If there were, you wouldn't be resorting to stunts like this. | 0:02:34 | 0:02:37 | |
Protocols can be written up afterwards. | 0:02:37 | 0:02:39 | |
I think the nursing staff might object. | 0:02:39 | 0:02:41 | |
Of course they will. Especially the fat ones. | 0:02:41 | 0:02:43 | |
But that's what being Clinical Lead means, Ethan, not always being popular. | 0:02:43 | 0:02:48 | |
Yes, well, I'm getting good at that part. | 0:02:48 | 0:02:50 | |
You know, I have some reclining chairs that I could send your way... | 0:02:50 | 0:02:53 | |
They wouldn't be missed. | 0:02:53 | 0:02:54 | |
What would I have to do in return...? | 0:02:56 | 0:02:57 | |
Take on some of my cases. | 0:02:57 | 0:02:59 | |
Maybe the troponin tests. | 0:02:59 | 0:03:01 | |
We're full, too, Ethan. | 0:03:01 | 0:03:03 | |
I'm losing surgical beds to patients waiting for blood tests. | 0:03:03 | 0:03:06 | |
I have a couple of patients in HDU, they both need diagnostic angios. | 0:03:07 | 0:03:12 | |
I can't get them moved, they're about to breach. | 0:03:12 | 0:03:14 | |
-If you were able to help? -Sounds like a deal. | 0:03:14 | 0:03:17 | |
It's certainly something I could look into. | 0:03:17 | 0:03:20 | |
Yes, great. | 0:03:20 | 0:03:21 | |
After you. | 0:03:21 | 0:03:23 | |
Thanks. | 0:03:23 | 0:03:25 | |
Morning. | 0:03:27 | 0:03:29 | |
Right, Gem, we need to leave. Oi! We're going to be late. | 0:03:29 | 0:03:35 | |
You will be. I'll be 45 minutes early. | 0:03:35 | 0:03:38 | |
-Oh, there's my top. -Yeah, I've ironed it for you. | 0:03:38 | 0:03:41 | |
Thanks, Mum. | 0:03:41 | 0:03:43 | |
-Might need help with my laces too. -Come on. | 0:03:43 | 0:03:46 | |
You're not dressed yet. | 0:03:46 | 0:03:48 | |
I couldn't. | 0:03:48 | 0:03:49 | |
Someone had my top. | 0:03:49 | 0:03:51 | |
-Come on, then. -Go! | 0:03:55 | 0:03:56 | |
What a mess. | 0:03:57 | 0:03:59 | |
This isn't right. | 0:04:02 | 0:04:04 | |
What do you mean? It's completely right. | 0:04:04 | 0:04:05 | |
That's not what I meant... | 0:04:05 | 0:04:07 | |
About time someone spoke up. | 0:04:07 | 0:04:09 | |
-You think? -I think they're bang on. | 0:04:09 | 0:04:11 | |
It is broken. We saw that. | 0:04:11 | 0:04:12 | |
But this isn't the way to change things. | 0:04:12 | 0:04:14 | |
It will put the trust on the defence. | 0:04:14 | 0:04:16 | |
They have no more money. | 0:04:16 | 0:04:17 | |
Attack the government, not the trust. | 0:04:17 | 0:04:19 | |
What, you don't think this is? | 0:04:19 | 0:04:20 | |
They should prioritise. | 0:04:20 | 0:04:22 | |
I mean, it's always us that get squeezed. | 0:04:22 | 0:04:24 | |
Speaking truth to power. That can't harm can it? | 0:04:24 | 0:04:26 | |
-Just my opinion. -Ugh! | 0:04:26 | 0:04:28 | |
Drinks tonight. | 0:04:29 | 0:04:31 | |
Hope and Anchor. Please! | 0:04:31 | 0:04:33 | |
-For once, I am thirsty and fancy free. -Sounds good. | 0:04:33 | 0:04:37 | |
Hiya, this is Matilda Dunford... | 0:04:40 | 0:04:42 | |
Do not call her Mattie... | 0:04:42 | 0:04:44 | |
-It's not my name. -It's not her name. Right, she's 79 years old. | 0:04:44 | 0:04:47 | |
Oh, please! Shush. | 0:04:47 | 0:04:49 | |
She's been suffering from chest pains and shortness of breath for the past 48 hours. | 0:04:49 | 0:04:54 | |
But she didn't like to complain. Her BP 180/90. | 0:04:54 | 0:04:57 | |
Sats of 95%. Pulse 85. | 0:04:57 | 0:05:00 | |
We've done an ECG which shows T wave inversion in the anterior leads. | 0:05:00 | 0:05:04 | |
We've got a list of meds from Burwell Park | 0:05:04 | 0:05:06 | |
and she is on medication for angina. | 0:05:06 | 0:05:08 | |
I'm a mother. I was a wife. | 0:05:08 | 0:05:12 | |
I used to be a chef. | 0:05:12 | 0:05:13 | |
I like roses, sticky puddings and crosswords. | 0:05:13 | 0:05:17 | |
I'm not just numbers on a little screen. | 0:05:20 | 0:05:22 | |
-Quite right, Matilda. -Shall we get her booked in? | 0:05:22 | 0:05:25 | |
Matilda, I'm Dr Munroe. | 0:05:25 | 0:05:27 | |
Is there anyone we can call for you? | 0:05:27 | 0:05:28 | |
Well, my daughter lives abroad. | 0:05:28 | 0:05:31 | |
But you can give me this young man's number. | 0:05:31 | 0:05:35 | |
Right. Dr Masum. | 0:05:35 | 0:05:37 | |
What should we do? | 0:05:37 | 0:05:40 | |
Duffy, have you seen my little sister, Gemma? | 0:05:40 | 0:05:42 | |
-She's started as a porter today. -Sorry, no. | 0:05:42 | 0:05:46 | |
And in here are the cubicles. | 0:05:46 | 0:05:47 | |
Now, Gem, let me be very clear. | 0:05:49 | 0:05:52 | |
I'm all for giving people second chances. | 0:05:52 | 0:05:55 | |
Especially when they're as young as you. | 0:05:55 | 0:05:56 | |
-But one thing I won't tolerate... -No stealing drugs? | 0:05:56 | 0:06:01 | |
-Humour's not against the rules, is it? -Not when it's funny, no. | 0:06:01 | 0:06:05 | |
This department is running at full capacity, as you can see. | 0:06:05 | 0:06:08 | |
We can't afford for any slip ups. This is a trial period. | 0:06:08 | 0:06:11 | |
You get no special treatment. | 0:06:11 | 0:06:13 | |
Because of my brother? Well, let me be clear... | 0:06:13 | 0:06:15 | |
I meant because of your background. | 0:06:15 | 0:06:17 | |
You're here as a paid member of staff in my department. | 0:06:19 | 0:06:22 | |
This isn't a hand-holding programme. | 0:06:22 | 0:06:24 | |
Sorry. Nerves. | 0:06:24 | 0:06:26 | |
Let me find Glen. He can show you around. | 0:06:27 | 0:06:30 | |
LAUGHTER | 0:06:40 | 0:06:46 | |
One eyebrow's too high. I've done you all Roger Moore. | 0:06:49 | 0:06:53 | |
LAUGHTER | 0:06:53 | 0:06:55 | |
-Having fun, girls? -Her name's Bond. | 0:06:55 | 0:06:58 | |
-Here, let me have another go. -No. She looks great. | 0:06:58 | 0:07:01 | |
-Don't be such a perfectionist, Valerie. -Hello, ladies! -Morning! | 0:07:01 | 0:07:05 | |
Oh, you look smashing. | 0:07:05 | 0:07:08 | |
You've outdone yourself, Val. | 0:07:08 | 0:07:10 | |
Just got off the phone. Matilda's fine, the hospital says. | 0:07:12 | 0:07:15 | |
They think it's just her angina flaring up. | 0:07:15 | 0:07:17 | |
They're going to keep her in for some checks but she should be back with us today. | 0:07:17 | 0:07:20 | |
Good. We all love Matilda. | 0:07:20 | 0:07:21 | |
I wish she'd said something earlier. | 0:07:21 | 0:07:23 | |
She looked so poorly this morning. | 0:07:23 | 0:07:25 | |
I really thought... | 0:07:25 | 0:07:27 | |
I would have gone with her but... | 0:07:27 | 0:07:29 | |
We need you here. | 0:07:29 | 0:07:30 | |
Right, well, we can let everyone know she's OK. | 0:07:30 | 0:07:33 | |
They're all a bit worried. Especially Val. | 0:07:33 | 0:07:35 | |
-Found this in the kitchens. -Oh, not again! I'll call the agency. | 0:07:35 | 0:07:39 | |
It's OK. This is a pork chop, I think. | 0:07:39 | 0:07:40 | |
-Not a dead rat this time. -Oh, that's OK, then. | 0:07:40 | 0:07:43 | |
-Can't we get another firm in? -Magda, you know my cleaning budget. | 0:07:43 | 0:07:46 | |
They think if the place is grubby, we'll make up the shortfall. | 0:07:46 | 0:07:49 | |
-We do! That's how I found that. -I'm sorry | 0:07:49 | 0:07:52 | |
Kitty, you next. | 0:07:56 | 0:07:58 | |
Then you, Colin. | 0:07:59 | 0:08:00 | |
SHE CHUCKLES | 0:08:00 | 0:08:03 | |
-Ah! -Whoa! | 0:08:03 | 0:08:06 | |
You nearly knocked me over! | 0:08:06 | 0:08:08 | |
-Jacob, I'm so sorry. It's all my fault. -Sorry. | 0:08:08 | 0:08:11 | |
Where are you lot taking these anyway? | 0:08:13 | 0:08:15 | |
Old training room, Ethan said. | 0:08:15 | 0:08:16 | |
CDU, he called it. | 0:08:16 | 0:08:18 | |
-New area in the department. -CDU? -Mm-hm. | 0:08:18 | 0:08:20 | |
Oh, really. | 0:08:23 | 0:08:24 | |
That's a good start. | 0:08:26 | 0:08:27 | |
Come on, then. | 0:08:29 | 0:08:31 | |
Are you serious? | 0:08:31 | 0:08:32 | |
I cannot have a repeat of what happened with Kam Kainth. | 0:08:32 | 0:08:35 | |
It's winter, it's our busiest time. | 0:08:35 | 0:08:37 | |
My hands are tied with staff and budgets. | 0:08:37 | 0:08:39 | |
If you can think of a better way to introduce some departmental | 0:08:39 | 0:08:42 | |
flexibility, for no additional spend... | 0:08:42 | 0:08:44 | |
I'm all ears. | 0:08:44 | 0:08:45 | |
It's not a vanity project, Jacob. | 0:08:45 | 0:08:47 | |
Maybe not, but I bet no-one's tried to stop you. | 0:08:47 | 0:08:50 | |
I mean, ED holding patients for longer, off the clock. | 0:08:50 | 0:08:52 | |
What's not to love? For them. | 0:08:52 | 0:08:54 | |
We cannot have any more trollies queuing in the corridors. OK? | 0:08:54 | 0:08:58 | |
-Turning away ambulances. -With respect, | 0:08:58 | 0:09:00 | |
-I think you're trying to make an impression with senior colleagues. -No, that is not I'm trying to do. | 0:09:00 | 0:09:04 | |
No, no, I get all that. | 0:09:04 | 0:09:06 | |
Duffy, Duffy! | 0:09:06 | 0:09:07 | |
Ethan has decided to open up a CDU! The F1s will manage the patients. | 0:09:13 | 0:09:17 | |
-You've done what?! -It's a holding area. | 0:09:17 | 0:09:20 | |
It helps us. It adds capacity. | 0:09:20 | 0:09:22 | |
More capacity with the same staff. | 0:09:22 | 0:09:25 | |
And where are the beds? | 0:09:25 | 0:09:27 | |
There are no beds, its trollies and chairs. | 0:09:27 | 0:09:30 | |
Patients still need nursing, whatever position they're in. | 0:09:30 | 0:09:33 | |
And I know what position you're putting us in. | 0:09:33 | 0:09:34 | |
So who looks after them? They'll need water? | 0:09:34 | 0:09:36 | |
And will you be out collecting pizzas? | 0:09:36 | 0:09:39 | |
OK, I'm sensing some resistance... | 0:09:39 | 0:09:42 | |
Because it doesn't work, Ethan. | 0:09:42 | 0:09:45 | |
-We've tried it. -Actually no, you haven't. | 0:09:45 | 0:09:48 | |
Not with me in charge. | 0:09:48 | 0:09:50 | |
So you know better than Mrs Beauchamp? | 0:09:50 | 0:09:53 | |
Oh, excuse me. Dr Dashing... | 0:10:04 | 0:10:07 | |
Not Dash. It's Rash. | 0:10:07 | 0:10:09 | |
Rash. Like a rasher. | 0:10:09 | 0:10:11 | |
A sizzling rasher. | 0:10:11 | 0:10:12 | |
Ooh. I could kill a bacon sandwich. | 0:10:12 | 0:10:15 | |
I haven't had my breakfast. Anyway. | 0:10:15 | 0:10:18 | |
I want to check. | 0:10:18 | 0:10:19 | |
You will look after me, won't you? | 0:10:19 | 0:10:21 | |
Because this doesn't fill me with confidence. | 0:10:21 | 0:10:25 | |
And you do seem rather busy... | 0:10:25 | 0:10:27 | |
Oh, don't worry, the papers have exaggerated. | 0:10:27 | 0:10:29 | |
You're definitely in safe hands here. | 0:10:29 | 0:10:31 | |
-And your ECG is fine. -Right. | 0:10:31 | 0:10:35 | |
We might be able to send you back to the care home soon then, Matilda. | 0:10:35 | 0:10:38 | |
Oh! | 0:10:38 | 0:10:40 | |
Could I get two minutes with anyone who's free in the staff room, please? | 0:10:40 | 0:10:44 | |
All right, won't be long. | 0:10:44 | 0:10:47 | |
Thank you. | 0:10:47 | 0:10:48 | |
Hey, have you heard? | 0:10:53 | 0:10:55 | |
Uh, no. Can it wait? Sorry. | 0:10:55 | 0:10:58 | |
Sure. | 0:10:58 | 0:10:59 | |
I just thought you'd want some good news. | 0:10:59 | 0:11:02 | |
Yeah. What is it? | 0:11:02 | 0:11:04 | |
Kam Kainth. He's much improved. | 0:11:04 | 0:11:08 | |
Right, OK. Thank you. | 0:11:08 | 0:11:11 | |
Uh, OK. I'm going to keep this super brief because we're all very busy. | 0:11:13 | 0:11:18 | |
We're going to be trialing a new arrangement for the next couple of weeks, OK? | 0:11:18 | 0:11:23 | |
I want to establish a Clinical Decision Unit | 0:11:23 | 0:11:25 | |
up in the old training room as a means of increasing capacity, | 0:11:25 | 0:11:28 | |
but also taking some pressure off all of us. | 0:11:28 | 0:11:31 | |
And I'd like the F1s to look after it. | 0:11:31 | 0:11:33 | |
It's chairs and trollies. | 0:11:33 | 0:11:35 | |
No beds and it's effective immediately. | 0:11:35 | 0:11:38 | |
-What? No, no. -What? No, no, no! | 0:11:38 | 0:11:40 | |
I know it'll be a struggle | 0:11:40 | 0:11:41 | |
but it's imperative that we make some changes now. | 0:11:41 | 0:11:44 | |
Ethan... We don't have protocols in place. | 0:11:44 | 0:11:47 | |
I want to see what works and then we'll write it up afterwards. | 0:11:47 | 0:11:50 | |
We'll keep talking and work it out together. | 0:11:50 | 0:11:52 | |
Yeah? Can I have quick word? | 0:11:52 | 0:11:56 | |
I can say with some certainty that this... | 0:11:58 | 0:12:01 | |
Well, the CDU is designed to be boring. | 0:12:01 | 0:12:04 | |
If it turns out it's fun, then something's gone drastically wrong. | 0:12:04 | 0:12:07 | |
Sorry, but let's call it educational. Yeah? Thanks | 0:12:07 | 0:12:12 | |
Nearly done, Colin. | 0:12:15 | 0:12:17 | |
SHE CHUCKLES | 0:12:17 | 0:12:19 | |
I've gone and made you all One Direction. | 0:12:19 | 0:12:22 | |
Ooh. Ah. | 0:12:22 | 0:12:26 | |
Val! Where's the pain? Magda, call an ambulance! | 0:12:26 | 0:12:29 | |
I've got you, it's all right, Colin. | 0:12:29 | 0:12:31 | |
Go and sit down, here you go, here you go. That's it | 0:12:31 | 0:12:34 | |
Iain! Good. | 0:12:37 | 0:12:39 | |
-It's gone. Where can I get another? -Slow down. What's gone? | 0:12:39 | 0:12:42 | |
My wheelchair! I'm meant to be moving this old lady. | 0:12:42 | 0:12:45 | |
I put it outside the toilet because sometimes you've got to pee. | 0:12:45 | 0:12:48 | |
Came out and someone's nicked it. | 0:12:48 | 0:12:49 | |
Well, welcome to the fully funded NHS. | 0:12:49 | 0:12:51 | |
Schoolboy error. Wheelchairs are rare. | 0:12:51 | 0:12:53 | |
-So other porters hide them. -Don't be daft. | 0:12:53 | 0:12:57 | |
-Because if they don't, somebody nicks them. -This is a hospital. | 0:12:57 | 0:13:00 | |
I'm on my lunch soon, if you want a hand... | 0:13:00 | 0:13:02 | |
-with your quest. -No! No. I'm fine, I just... | 0:13:02 | 0:13:06 | |
Control to 3006. Please respond, over. | 0:13:06 | 0:13:08 | |
3006. Go ahead. | 0:13:08 | 0:13:10 | |
RTC on Auborn Way. One female injured still in vehicle. | 0:13:10 | 0:13:12 | |
There it is. Oi! You! | 0:13:12 | 0:13:16 | |
Received and en route. Over. | 0:13:16 | 0:13:18 | |
Thanks very much. Uh, Valerie Clerk. | 0:13:18 | 0:13:23 | |
Non-smoker. No history of cardiac problems. | 0:13:23 | 0:13:26 | |
-Nothing in the family. -So this isn't a heart attack... | 0:13:26 | 0:13:28 | |
See the man in the ambulance said... | 0:13:28 | 0:13:30 | |
I don't think it's a heart attack, Valerie, | 0:13:30 | 0:13:33 | |
but we'll do a troponin test... A blood test, to be sure. | 0:13:33 | 0:13:35 | |
What then? Angina? I've never had angina. | 0:13:35 | 0:13:38 | |
Try not to worry, Val. I'm sure it'll be fine. | 0:13:38 | 0:13:40 | |
Could be musculoskeletal? | 0:13:40 | 0:13:42 | |
Let's repeat ECG, wait for the bloods | 0:13:42 | 0:13:44 | |
and keep her on half-hourly obs. | 0:13:44 | 0:13:46 | |
Possibly a candidate for CDU. | 0:13:46 | 0:13:48 | |
-Frees up a bed. -Shouldn't we treat the patient first? | 0:13:48 | 0:13:51 | |
That's why I said possibly. | 0:13:51 | 0:13:53 | |
You have a Matilda Dunford here, one of our ladies. | 0:13:53 | 0:13:56 | |
-Your ladies? -Burwell Nursing Home. I'm the Nurse Manager there. | 0:13:56 | 0:14:00 | |
We were told to expect Matilda back but she hasn't turned up yet. | 0:14:00 | 0:14:03 | |
-Ah. -I'm really sorry. I'm not quite sure what's happened. | 0:14:03 | 0:14:06 | |
-Let me find out. -Thank you. -Yeah, all right, thanks. | 0:14:06 | 0:14:09 | |
Oh! I forgot my magic bag, Maxie. | 0:14:09 | 0:14:13 | |
She means her make-up bag. | 0:14:13 | 0:14:15 | |
-Our resident beautician here -Former life. | 0:14:15 | 0:14:18 | |
I'm sure you don't need it, Val. | 0:14:18 | 0:14:19 | |
Some of us need to gild our God-given, Maxine. | 0:14:19 | 0:14:23 | |
Don't all have your bone structure. | 0:14:23 | 0:14:25 | |
-Maybe you could just pull the curtains a tad then, hey? -Sure, yeah. | 0:14:25 | 0:14:29 | |
Oh! Is that blood? | 0:14:31 | 0:14:35 | |
Sorry, I'll get a cleaner. | 0:14:35 | 0:14:37 | |
As bad as Burwell Park! No offence, Maxine. | 0:14:38 | 0:14:41 | |
I'll be damned if I'm skivvying for the company as well. | 0:14:41 | 0:14:44 | |
I give them enough free shifts as it is. | 0:14:44 | 0:14:45 | |
-Oh, no, I didn't mean... -I'm just going to get a coffee, Val. | 0:14:45 | 0:14:49 | |
She'd do anything for you, that one. | 0:14:51 | 0:14:54 | |
Lovely girl. | 0:14:54 | 0:14:56 | |
Where's the transfer ambulance, Noel? I've been waiting there 20 minutes. | 0:14:56 | 0:14:59 | |
There you are! They've called to say they got fed up of waiting. | 0:14:59 | 0:15:01 | |
-They've gone. -What? But I was there. How could they have missed me? | 0:15:01 | 0:15:04 | |
That's exactly what I'm wondering. | 0:15:04 | 0:15:06 | |
I was at the Ambulance Station. | 0:15:06 | 0:15:08 | |
Well, you should have gone to the main entrance. | 0:15:08 | 0:15:10 | |
-No-one said! -For a transfer? Isn't it obvious? | 0:15:10 | 0:15:13 | |
-Obviously her brother wasn't around to ask. -Mm-hm. | 0:15:13 | 0:15:16 | |
What? Well, I don't need to ask him. | 0:15:16 | 0:15:19 | |
I rather enjoyed the fresh air. | 0:15:19 | 0:15:22 | |
Outside. For 20 minutes? Are you sure you're OK, you're not cold? | 0:15:22 | 0:15:26 | |
I'm fine. Well. | 0:15:26 | 0:15:29 | |
-Maybe a little short on my breath. -Right. Well. | 0:15:29 | 0:15:32 | |
Best to get you checked over, just in case. | 0:15:32 | 0:15:36 | |
Porters are meant to make our life easier, Gem, | 0:15:36 | 0:15:39 | |
-and you're not doing that so far. -Oh, come on. It's her first day. | 0:15:39 | 0:15:42 | |
They never told us where we should wait anyway. | 0:15:42 | 0:15:45 | |
This is Emma Edmonds, 24. | 0:15:49 | 0:15:51 | |
She's suffered a previous spinal injury which left her | 0:15:51 | 0:15:53 | |
paralysed from around T6. | 0:15:53 | 0:15:55 | |
About 20 minutes ago, she was driving an adapted car which was | 0:15:55 | 0:15:58 | |
hit side-on by another driver - not a big impact - but a glancing blow. | 0:15:58 | 0:16:02 | |
First lesson. | 0:16:02 | 0:16:04 | |
It wasn't my fault though. | 0:16:04 | 0:16:05 | |
Emma was complaining of a headache on scene. | 0:16:05 | 0:16:07 | |
But there's no injuries found. | 0:16:07 | 0:16:08 | |
We didn't board her as she couldn't tolerate it. | 0:16:08 | 0:16:10 | |
No other history. | 0:16:10 | 0:16:12 | |
-Mum says she's on medication and has written down and she has no allergies. -OK. | 0:16:12 | 0:16:16 | |
Hi, Emma, I'm Doctor Gardner. | 0:16:16 | 0:16:18 | |
I'd like to examine your spine, so hopefully, | 0:16:18 | 0:16:21 | |
we can remove those blocks and make you more comfortable. | 0:16:21 | 0:16:23 | |
1g of paracetamol, IV, please. | 0:16:23 | 0:16:25 | |
That won't touch this. It's a seven. | 0:16:25 | 0:16:28 | |
I know about pain scoring, yeah. | 0:16:28 | 0:16:30 | |
-Are you OK with morphine? -Hook me up! | 0:16:30 | 0:16:33 | |
Let's get 5mg of morphine instead. | 0:16:33 | 0:16:36 | |
Robyn, she has also has a suprapubic catheter that she's a little | 0:16:36 | 0:16:40 | |
sensitive about. | 0:16:40 | 0:16:42 | |
I've checked the bag and it's only half full. | 0:16:42 | 0:16:44 | |
OK, thank you. | 0:16:44 | 0:16:45 | |
I'm sure everything will be fine, Emmy. | 0:16:45 | 0:16:47 | |
-That's what you said last time! -Last time? | 0:16:47 | 0:16:50 | |
Emma was paralysed in a car accident. | 0:16:51 | 0:16:54 | |
I was driving. | 0:16:54 | 0:16:56 | |
And texting. | 0:16:56 | 0:16:58 | |
-You've got something to say? -Me? | 0:17:00 | 0:17:03 | |
No, I was just thinking how difficult it must be for both of you. | 0:17:03 | 0:17:06 | |
-You think? It's OK, Mum. -Course it's not OK. | 0:17:06 | 0:17:12 | |
I wasn't driving this time, though. | 0:17:13 | 0:17:15 | |
First lesson and I get shunted. | 0:17:15 | 0:17:17 | |
-And now my mother will freak out every time. -It's OK. | 0:17:17 | 0:17:21 | |
We're not lost, we're taking the scenic route! | 0:17:21 | 0:17:25 | |
But I need to be able to drive. | 0:17:25 | 0:17:28 | |
I've been accepted by Cambridge to read Natural Sciences. | 0:17:28 | 0:17:31 | |
And I am not taking my mother. | 0:17:31 | 0:17:33 | |
Congratulations, young lady. | 0:17:33 | 0:17:36 | |
-That's very impressive. -Thanks. -Cambridge, yeah? | 0:17:36 | 0:17:39 | |
-It's brilliant. -Bye-bye. | 0:17:39 | 0:17:42 | |
I'm off to the CDU. | 0:17:42 | 0:17:44 | |
I'm hoping it's a bit like a seedy bar. | 0:17:44 | 0:17:46 | |
LAUGHTER | 0:17:46 | 0:17:48 | |
I'll see you there if it is. Is everything all right? | 0:17:48 | 0:17:50 | |
-Yeah, fine. Stop asking. -I'm only trying to help. | 0:17:50 | 0:17:53 | |
Yeah, well, I don't want people thinking I need your help. | 0:17:53 | 0:17:56 | |
If we could have some focus please! | 0:17:56 | 0:17:58 | |
Iain, can you take Emma's head so we can remove the blocks. | 0:17:58 | 0:18:00 | |
-Emma, I need to do a full examination, OK? -Mum, | 0:18:00 | 0:18:03 | |
-go get a coffee or something. -I'm staying, I'm fine | 0:18:03 | 0:18:06 | |
There she is, hands all over my beau. | 0:18:08 | 0:18:12 | |
You what? | 0:18:12 | 0:18:13 | |
It's just us oldies having a bit of fun, sweetie. | 0:18:13 | 0:18:16 | |
-Hey, less of the "old", you. -Well, back off the boyfriend then. | 0:18:16 | 0:18:20 | |
Mrs Dunford, in this chair, if you can. | 0:18:20 | 0:18:23 | |
Hello, Matilda, love. | 0:18:23 | 0:18:25 | |
Maxie. Nice to see you. | 0:18:25 | 0:18:27 | |
-How are you feeling? -Better. | 0:18:27 | 0:18:30 | |
I'm glad I missed my ride though. | 0:18:30 | 0:18:32 | |
This is Matilda Dunford... | 0:18:33 | 0:18:35 | |
Yeah, I know. We've met. | 0:18:35 | 0:18:37 | |
I'm sorry Matilda. I had no idea. | 0:18:37 | 0:18:40 | |
I'll withdraw gracefully. | 0:18:40 | 0:18:42 | |
You take your best shot. | 0:18:42 | 0:18:44 | |
He's not interested in the fuller-figured lady. | 0:18:44 | 0:18:48 | |
I need more of your Slender and Lovely programme, Val. | 0:18:48 | 0:18:51 | |
Drop a few more pounds. | 0:18:51 | 0:18:52 | |
"Slender and Lovely programme"? | 0:18:52 | 0:18:54 | |
Ooh, 'ark at big ears here. | 0:18:54 | 0:18:57 | |
Hey, a lady doesn't reveal her beauty secrets. | 0:18:57 | 0:19:00 | |
There's only so much you can cover up with make-up, ladies. | 0:19:00 | 0:19:03 | |
Believe me, I've tried. | 0:19:03 | 0:19:04 | |
It's like sausages. | 0:19:04 | 0:19:06 | |
You wouldn't touch 'em if you knew how they were made. | 0:19:06 | 0:19:09 | |
THEY LAUGH | 0:19:09 | 0:19:10 | |
-She's right, you know. -You're new, right? -I am. | 0:19:10 | 0:19:14 | |
-Gem. -Rash. | 0:19:16 | 0:19:18 | |
First day. Still finding her feet. | 0:19:18 | 0:19:21 | |
-Jen? -Gem. | 0:19:21 | 0:19:24 | |
-Like the stone. -Ah. Gem...stone. | 0:19:24 | 0:19:28 | |
Like a...rough diamond. | 0:19:28 | 0:19:30 | |
You know me already. | 0:19:33 | 0:19:34 | |
Oh, you really need to work on your smooth talk, Dr Dashing. | 0:19:34 | 0:19:38 | |
Hey why don't you practice on me? | 0:19:38 | 0:19:40 | |
-See you. -See you. | 0:19:44 | 0:19:46 | |
Thanks. | 0:19:49 | 0:19:50 | |
I know we're being all flexible with protocols | 0:19:52 | 0:19:54 | |
but could you tell me what we do when the department's full, | 0:19:54 | 0:19:56 | |
CDU's full and we have waiting trollies? | 0:19:56 | 0:19:58 | |
-What do you mean full? -What do you think I mean, Ethan? | 0:19:58 | 0:20:01 | |
CDU? | 0:20:01 | 0:20:03 | |
Two that would normally go to Jac Naylor. | 0:20:03 | 0:20:05 | |
Then Valerie Clerk and Matilda Dunford from Burwell Park. | 0:20:05 | 0:20:07 | |
Oh, and another one that's just arrived by the way. | 0:20:07 | 0:20:09 | |
So that's three in three hours, what's that about? | 0:20:09 | 0:20:12 | |
Matilda Dunford? | 0:20:12 | 0:20:13 | |
She missed her transport. | 0:20:13 | 0:20:15 | |
This stuff happens every day. | 0:20:15 | 0:20:17 | |
Or did you forget? | 0:20:17 | 0:20:18 | |
Let me guess, boys, Burwell Park? | 0:20:18 | 0:20:20 | |
We should fit a trailer. Save some diesel. | 0:20:20 | 0:20:22 | |
-Tell me about it. -You went to Burwell Park? | 0:20:22 | 0:20:24 | |
-Yeah. -Why? | 0:20:24 | 0:20:25 | |
Thinking of buying a country pile? Match the new job? | 0:20:25 | 0:20:27 | |
I wouldn't get that place. | 0:20:27 | 0:20:29 | |
Heard they failed their CQC. | 0:20:29 | 0:20:30 | |
Really? | 0:20:30 | 0:20:32 | |
-Just don't accept the free lunch, that's all I'm saying. -OK, thanks. | 0:20:32 | 0:20:36 | |
-Duffy...the two free beds in HDU? -Free? | 0:20:36 | 0:20:39 | |
Do you want me to tell the patients currently occupying them or will you? | 0:20:39 | 0:20:43 | |
Not the same ones? No, Jac Naylor should have taken them. | 0:20:43 | 0:20:46 | |
Jac Naylor should do many things. | 0:20:46 | 0:20:49 | |
Then they've breached! | 0:20:49 | 0:20:51 | |
PEOPLE TALK OVER EACH OTHER | 0:20:51 | 0:20:56 | |
BP's 105/60. Pulse is 55. | 0:20:56 | 0:20:59 | |
-How's the headache now? -Better, I think. | 0:21:01 | 0:21:03 | |
My hands are feeling a bit cold though. | 0:21:03 | 0:21:07 | |
And what would you have done if you'd been on your own when this happened? | 0:21:07 | 0:21:10 | |
I am not playing "what if" game, Mum. It never ends well. | 0:21:10 | 0:21:13 | |
-Do you have kids? -I do. | 0:21:13 | 0:21:15 | |
Is it always so hard to get them to do what's best for them? | 0:21:15 | 0:21:18 | |
-Assuming you know what that is. -Ha! | 0:21:18 | 0:21:21 | |
I'm just saying going to the local college would not be awful. | 0:21:21 | 0:21:24 | |
Gets you a degree. | 0:21:24 | 0:21:25 | |
Doesn't get you a Cambridge degree! Can we go now? | 0:21:25 | 0:21:28 | |
I'm feeling better. | 0:21:28 | 0:21:30 | |
-I might have overreacted. -If you don't mind, | 0:21:30 | 0:21:33 | |
1I'd like to keep you here a little bit longer. | 0:21:33 | 0:21:35 | |
-I hate hospitals. Sorry. No offence. -None taken. | 0:21:35 | 0:21:40 | |
There's days, I'm not so keen myself. | 0:21:40 | 0:21:43 | |
Your BP is normal. | 0:21:43 | 0:21:44 | |
I'd just like to establish why your heart rate is so low. | 0:21:44 | 0:21:48 | |
-Low heart rate!? -Mum. It's just the accident, surely? | 0:21:48 | 0:21:51 | |
Adrenaline or something. I'm OK. | 0:21:51 | 0:21:54 | |
That would normally have the opposite effect. | 0:21:54 | 0:21:57 | |
So it's best to check. I won't be long. | 0:21:57 | 0:21:59 | |
I'm concerned about that headache and now these obs. | 0:22:01 | 0:22:04 | |
I'm going to speak to a spinal specialist. | 0:22:04 | 0:22:07 | |
-Will you keep an eye on her? -Yeah, sure thing. | 0:22:07 | 0:22:09 | |
I still have patients in my HDU! | 0:22:11 | 0:22:13 | |
Miss Naylor, you said you were going to take my diagnostic angios. | 0:22:14 | 0:22:17 | |
-No. -No? We had a conversation about it a couple of hours ago. | 0:22:17 | 0:22:22 | |
I said I'd look into it. I did. | 0:22:22 | 0:22:24 | |
We can't. | 0:22:24 | 0:22:26 | |
The deal's off. You can do your own assessments. | 0:22:26 | 0:22:28 | |
Flip-flopping on department policy within hours, | 0:22:28 | 0:22:31 | |
throwing the system into chaos. | 0:22:31 | 0:22:32 | |
Not something I'd recommend especially with the Trust breathing down your neck. | 0:22:32 | 0:22:36 | |
Oh, haven't you heard? It's your job to find out who the anonymous blogger is? Tick tock. | 0:22:36 | 0:22:41 | |
Now, if there's nothing else you'd like to consult me on? | 0:22:41 | 0:22:44 | |
-Maxine, isn't it? Can I have a quick word please? -Of course. | 0:22:55 | 0:22:59 | |
Um, I think there's a public health issue in your care home. | 0:22:59 | 0:23:02 | |
An issue? | 0:23:02 | 0:23:03 | |
I'm not exactly sure what at the moment. | 0:23:03 | 0:23:05 | |
But there's been too many cases in too short a time. | 0:23:05 | 0:23:08 | |
Too many? From a care home? | 0:23:08 | 0:23:09 | |
-In winter? It's norovirus season. -There's no norovirus. | 0:23:09 | 0:23:13 | |
This is three cases in three hours. They're all cardiac. | 0:23:13 | 0:23:15 | |
You can't just start throw accusations around like that. | 0:23:15 | 0:23:17 | |
It could well be a coincidence. | 0:23:17 | 0:23:19 | |
Yes, but another possibility is it's the misadministration of drugs. | 0:23:19 | 0:23:22 | |
-I'm not pointing fingers. This kind of thing happens. -No. | 0:23:22 | 0:23:26 | |
No? You seem awfully sure... | 0:23:26 | 0:23:29 | |
-I understand you've been having your own problems. -Excuse me? | 0:23:29 | 0:23:31 | |
There's no need to project them onto me. | 0:23:31 | 0:23:33 | |
I hope for your sake it's not an infection control problem? | 0:23:33 | 0:23:35 | |
-I know that you failed your CQC. -Ethan, maybe not the time and place? | 0:23:35 | 0:23:39 | |
And I've been reading some pretty disturbing things about your department! | 0:23:39 | 0:23:42 | |
I am trying to help you understand that another bad report will close your care home. | 0:23:42 | 0:23:46 | |
There's nothing going on in Burwell Park that I'm not on top of. | 0:23:46 | 0:23:49 | |
Shame I can't say the same about you. | 0:23:49 | 0:23:51 | |
You do your job, Doctor. | 0:23:51 | 0:23:53 | |
I'll do mine. Sorry about that, Valerie. | 0:23:53 | 0:23:57 | |
Toilets aren't as clean as I'd like. | 0:24:03 | 0:24:05 | |
Thanks for sharing. | 0:24:05 | 0:24:07 | |
Can you go outside and call the driving school to rearrange? | 0:24:07 | 0:24:09 | |
-I can't use my phone in here. -Oh, but... | 0:24:09 | 0:24:12 | |
But what? They hit me. | 0:24:12 | 0:24:14 | |
I did nothing wrong. | 0:24:14 | 0:24:16 | |
I can't let somebody else's driving put me off. | 0:24:16 | 0:24:18 | |
But why so soon? Give yourself some breathing space. | 0:24:18 | 0:24:20 | |
That's exactly what I'm trying to do! | 0:24:20 | 0:24:23 | |
Don't you mean get away from me? | 0:24:23 | 0:24:24 | |
That's kind of what independent means, Mum. | 0:24:24 | 0:24:27 | |
Yeah, I know! It's just... | 0:24:27 | 0:24:29 | |
Oh, you're too young to understand. | 0:24:31 | 0:24:34 | |
It's called empty nest syndrome. | 0:24:34 | 0:24:37 | |
I understand well enough. | 0:24:37 | 0:24:39 | |
But this is worse because of.. | 0:24:39 | 0:24:41 | |
Because of your guilt. | 0:24:43 | 0:24:45 | |
But I shouldn't suffer because of it. | 0:24:45 | 0:24:47 | |
Suffer?! That is so unfair. | 0:24:47 | 0:24:49 | |
You are still my baby girl. | 0:24:49 | 0:24:51 | |
I would do anything for you. | 0:24:51 | 0:24:52 | |
How about we start with you doing nothing at all? | 0:24:52 | 0:24:56 | |
-What are you doing? -Dress rehearsal! | 0:24:56 | 0:24:58 | |
-Is everything OK? -Not really. | 0:24:58 | 0:25:01 | |
My mother thinks she knows what's best for me. | 0:25:01 | 0:25:03 | |
OK. I do think it's best that you stay here. | 0:25:03 | 0:25:06 | |
-Dr Gardner was very... -I'm fine. Excuse me. -Where are you going? | 0:25:06 | 0:25:09 | |
-To be on my own. -Have you got your phone? Emmy! | 0:25:09 | 0:25:13 | |
KNOCK ON DOOR | 0:25:18 | 0:25:20 | |
-Hi. -Hey. | 0:25:22 | 0:25:23 | |
I heard. | 0:25:26 | 0:25:28 | |
Right, professional, wasn't it? Wonder if that'll make the blog? | 0:25:28 | 0:25:34 | |
Clinical Lead shouts at a room full of old ladies. | 0:25:34 | 0:25:37 | |
It doesn't. | 0:25:37 | 0:25:39 | |
Has there been a new entry? | 0:25:39 | 0:25:41 | |
Ethan, it doesn't criticise you personally. | 0:25:42 | 0:25:45 | |
Moving sick people into a CDU won't help systemic problems. | 0:25:50 | 0:25:54 | |
Like moving deck chairs on the Titanic. | 0:25:54 | 0:25:56 | |
The NHS is sinking. | 0:25:56 | 0:25:58 | |
That was my initiative. | 0:26:00 | 0:26:02 | |
That is a direct criticism. | 0:26:02 | 0:26:05 | |
It doesn't mention you, it's talking about the department. | 0:26:05 | 0:26:08 | |
Yeah, that I'm running. | 0:26:08 | 0:26:09 | |
This all started when I took charge. | 0:26:10 | 0:26:12 | |
The blog started in winter, the worst time for the NHS. | 0:26:12 | 0:26:17 | |
I know you senior medics think that the world revolves around you. | 0:26:17 | 0:26:20 | |
But maybe there's a bigger picture? | 0:26:20 | 0:26:22 | |
It's only my bit they're writing about. | 0:26:22 | 0:26:23 | |
You've just skimmed it. I read it. | 0:26:23 | 0:26:26 | |
I think it's about staff trying their hardest. | 0:26:26 | 0:26:30 | |
And failing. | 0:26:30 | 0:26:32 | |
We all have bad days, Ethan. | 0:26:37 | 0:26:39 | |
Bad days... | 0:26:40 | 0:26:42 | |
..bad weeks, bad months. | 0:26:43 | 0:26:46 | |
-Hey. Can I smoke out there? -No, I don't think so. | 0:27:01 | 0:27:04 | |
SHE SIGHS | 0:27:32 | 0:27:34 | |
So how's it going? | 0:27:40 | 0:27:42 | |
I'm going to go see if there's a recently painted wall I can watch. | 0:27:42 | 0:27:46 | |
-Hello, ladies. -Hello. -Hello. | 0:27:48 | 0:27:51 | |
So, Matilda, how you feeling? | 0:27:53 | 0:27:55 | |
-Terrible. -Really? | 0:27:55 | 0:27:57 | |
One left. | 0:27:57 | 0:27:59 | |
I never managed to finish a cryptic. | 0:27:59 | 0:28:01 | |
OK. Try me. | 0:28:01 | 0:28:03 | |
Ooh, don't say that to a girl! | 0:28:03 | 0:28:05 | |
THEY LAUGH | 0:28:05 | 0:28:06 | |
-I meant the clue! -Right. OK. Six down. | 0:28:06 | 0:28:10 | |
Exhausted postman. | 0:28:10 | 0:28:11 | |
What, exhausted postman? Is that it? | 0:28:11 | 0:28:14 | |
That's what it says. Exhausted postman. | 0:28:14 | 0:28:16 | |
Exhausted postman? How many letters? | 0:28:16 | 0:28:19 | |
-Millions! -That's why he's exhausted! | 0:28:19 | 0:28:22 | |
That's terrible! | 0:28:22 | 0:28:24 | |
Oh... | 0:28:26 | 0:28:27 | |
Come on, Mrs Dunford. | 0:28:29 | 0:28:30 | |
I'm not on the menu... | 0:28:30 | 0:28:32 | |
Duffy! Duffy, her pulse is irregular. | 0:28:34 | 0:28:37 | |
We need an ECG. Resus now! | 0:28:37 | 0:28:39 | |
-Just lay back. -That's it. Easy does it. That's it. Slowly. | 0:28:39 | 0:28:42 | |
It's Pearl. She has chest pains. I've called an ambulance. | 0:29:16 | 0:29:19 | |
-What happened? -It's Matilda Dunford. -She just went off, Doctor Hardy. | 0:29:21 | 0:29:24 | |
Her pulse is irregular. She's struggling to breathe. | 0:29:24 | 0:29:26 | |
OK, bay three, please. | 0:29:26 | 0:29:27 | |
-Maybe if we weren't doing blood tests for Jac Naylor, we'd have had time to ... -OK, thank you. Not now. | 0:29:27 | 0:29:32 | |
Do ABCs before we transfer her. | 0:29:32 | 0:29:34 | |
I'm sorry. I have to, um... | 0:29:38 | 0:29:40 | |
OK. I'm just going to have a listen to your chest. | 0:29:42 | 0:29:45 | |
SHE BREATHES HEAVILY | 0:29:56 | 0:30:02 | |
Yes, thank you, where's Emma? I need to talk to her. | 0:30:18 | 0:30:22 | |
I've been calling her for ages. But it's just going to voicemail. | 0:30:22 | 0:30:25 | |
-She went to be on her own for a bit. -Well, we need to find her... | 0:30:25 | 0:30:28 | |
-Why? What's the matter? You said everything... -Mrs Edmunds, | 0:30:28 | 0:30:30 | |
-have you heard of something called autonomic dysreflexia? -Maybe... | 0:30:30 | 0:30:34 | |
-When she was in the Spinal Unit... -I think it matches Emma's symptoms. | 0:30:34 | 0:30:37 | |
The headache, the cold hands, low heart rate. | 0:30:37 | 0:30:41 | |
If untreated, it can be very serious but it's fairly simple to... | 0:30:41 | 0:30:44 | |
-But she said the headache was better... -I know she did. | 0:30:44 | 0:30:47 | |
But I think the morphine may have masked it. | 0:30:47 | 0:30:49 | |
And her BP... In spinal injury patients, it's often lower. | 0:30:49 | 0:30:54 | |
What looks normal is elevated for her. | 0:30:54 | 0:30:56 | |
She seemed OK when she left. | 0:30:56 | 0:30:59 | |
Just stay here, she'll probably come back. | 0:30:59 | 0:31:02 | |
We need to find her. | 0:31:03 | 0:31:05 | |
Anything I can help with? | 0:31:07 | 0:31:09 | |
Um, yes, please | 0:31:09 | 0:31:11 | |
Great. Something educational happens and... | 0:31:13 | 0:31:16 | |
I am out of the room. | 0:31:16 | 0:31:17 | |
You mean Matilda collapsing? Careful what you wish for, doctor. | 0:31:17 | 0:31:21 | |
Oh, come on, I didn't mean I want stuff to happen. | 0:31:21 | 0:31:24 | |
Sounded a bit like that. | 0:31:24 | 0:31:25 | |
Valerie. | 0:31:28 | 0:31:29 | |
I think she's arrested! Jacob! Jacob! | 0:31:34 | 0:31:40 | |
SHE GASPS | 0:31:44 | 0:31:46 | |
Valerie, are you OK? | 0:31:46 | 0:31:48 | |
Hello? HELLO? I need some help. | 0:32:17 | 0:32:21 | |
SHE BREATHES HEAVILY | 0:32:29 | 0:32:34 | |
I've just arrived with another resident. Same symptoms. | 0:32:50 | 0:32:53 | |
-OK, that's four now. -But to confirm... | 0:32:53 | 0:32:55 | |
Not only has there been no admin cockup, | 0:32:55 | 0:32:57 | |
none of these patients have any medications in common. | 0:32:57 | 0:32:59 | |
And Valerie isn't even on anything. | 0:32:59 | 0:33:01 | |
Maxine, I didn't mean to make things personal. | 0:33:01 | 0:33:03 | |
Really, it felt like you did. | 0:33:03 | 0:33:05 | |
We've moved Colin to the ward. | 0:33:05 | 0:33:07 | |
Valerie and Matilda are in Resus. | 0:33:07 | 0:33:09 | |
OK, they both suffered severe cardiac events. | 0:33:09 | 0:33:12 | |
Now, Valerie's condition seems stable. | 0:33:12 | 0:33:14 | |
But, Matilda, her condition is very poor. | 0:33:14 | 0:33:17 | |
-What is this? -I don't know but it must be exposure to something common. | 0:33:17 | 0:33:23 | |
-Could be chemicals? Have they been spraying the fields round you? -No. | 0:33:23 | 0:33:27 | |
-Could be something in the water? -We're connected to the mains like the rest of Holby. | 0:33:27 | 0:33:31 | |
OK. Something that interferes with their electrolytes, | 0:33:31 | 0:33:34 | |
that affects their cardiac rhythm... | 0:33:34 | 0:33:36 | |
I know that sounds daft but is there anything you think it could be? | 0:33:36 | 0:33:41 | |
No. Can I see them? | 0:33:41 | 0:33:44 | |
Yes, of course, just briefly. | 0:33:45 | 0:33:48 | |
-So um, you've checked the ladies, obviously? -Just did. | 0:33:52 | 0:33:55 | |
Nah, I haven't seen her. But, then again, if she's sat in a wheelchair, | 0:33:55 | 0:33:59 | |
-and I'm sat behind my desk... You get my drift? -OK, thanks, Noel. | 0:33:59 | 0:34:02 | |
Call security? Get them to check the CCTV? | 0:34:02 | 0:34:05 | |
Right guys, now, listen up. | 0:34:05 | 0:34:08 | |
We're looking for a patient. | 0:34:08 | 0:34:09 | |
Emma Edmonds, 24. | 0:34:09 | 0:34:10 | |
She's a wheelchair user. This is serious. | 0:34:10 | 0:34:12 | |
-She's wearing a purple hoodie. -We start from outside then move in. -Jacob? | 0:34:12 | 0:34:17 | |
Gemma, that's not the right direction. | 0:34:20 | 0:34:23 | |
Yeah, well I told her she couldn't smoke out there. | 0:34:23 | 0:34:25 | |
-I'm sure she turned around... -Come on, they asked you to check outside. | 0:34:25 | 0:34:28 | |
-Yeah, and she could die. -Possibly. If you stand here arguing. | 0:34:28 | 0:34:30 | |
I'm going to the basement. That's where I'd go. | 0:34:30 | 0:34:32 | |
-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. | 0:34:32 | 0:34:36 | |
-Your boss did. -Yeah, well, I don't care. She could die. | 0:34:36 | 0:34:40 | |
Gemma! Where you going? | 0:34:40 | 0:34:42 | |
-How you feeling? -Oh, I'm OK. | 0:34:45 | 0:34:47 | |
-How is she? -They're not saying much. Try not to stress about it. | 0:34:49 | 0:34:53 | |
I bet I look a sight! Oh, is that my bag? | 0:34:53 | 0:34:57 | |
-Pass my compact, would you? -What now? | 0:34:57 | 0:35:00 | |
It's in the pocket. Oh. No! Not that one. | 0:35:00 | 0:35:04 | |
-What are these? -No idea. -They're in your bag, Val. | 0:35:06 | 0:35:09 | |
Oh. Nothing. Just slimming pills. | 0:35:09 | 0:35:13 | |
-This is your "slender and lovely" programme? -Yeah | 0:35:13 | 0:35:15 | |
So Matilda's on these? Who else? | 0:35:15 | 0:35:17 | |
-It's really none of your business. -Of course it is! | 0:35:17 | 0:35:20 | |
Hey. What are these? | 0:35:20 | 0:35:22 | |
Slimming pills. | 0:35:22 | 0:35:24 | |
Sibutramine? Has Matilda taken these? | 0:35:24 | 0:35:27 | |
Yes. And Colin. | 0:35:27 | 0:35:29 | |
And Pearl? The paramedics just brought her in. | 0:35:29 | 0:35:32 | |
-Pearl?! We've been taking them for months. -Months! -In a care home? | 0:35:32 | 0:35:39 | |
We're not so mobile so it helps keep the weight off. | 0:35:39 | 0:35:43 | |
They're from a good company. | 0:35:43 | 0:35:44 | |
They came guaranteed safe. | 0:35:44 | 0:35:47 | |
Right, Jacob. | 0:35:47 | 0:35:48 | |
Can you check Toxbase, please, for Sibutramine? | 0:35:48 | 0:35:51 | |
I think they were withdrawn for causing cardiac problems. | 0:35:51 | 0:35:54 | |
-She's asystolic. -OK, let's get the arrest trolley | 0:35:54 | 0:35:57 | |
Start compressions... | 0:35:57 | 0:35:59 | |
No? Well, where the is she, then? | 0:36:07 | 0:36:09 | |
We have all the security and the porters out looking for her. | 0:36:09 | 0:36:11 | |
But what if she's collapsed? What if she's unconscious? | 0:36:11 | 0:36:15 | |
Hello? Emma?! | 0:36:19 | 0:36:21 | |
Emma? Hello? | 0:36:35 | 0:36:37 | |
-DISTORTED: -Emma. It's Gem. | 0:36:39 | 0:36:42 | |
-Right, we're going to have to get you upstairs. -Ah... | 0:36:42 | 0:36:46 | |
I'm trying to help you. OK? | 0:36:46 | 0:36:48 | |
Shall I take over? | 0:36:54 | 0:36:55 | |
It's been two minutes since adrenaline. | 0:37:01 | 0:37:03 | |
Can we do a pulse check, please? | 0:37:03 | 0:37:05 | |
MACHINE BLEEPS | 0:37:06 | 0:37:09 | |
She's still asystolic and hasn't responded to CPR or adrenaline. | 0:37:09 | 0:37:14 | |
We've covered all the reversible causes. | 0:37:14 | 0:37:15 | |
-Still no output. -I think we should call it. | 0:37:15 | 0:37:18 | |
-Everyone in agreement. -Yeah. -Yeah. | 0:37:18 | 0:37:21 | |
-Sister Duffin. -Time of death 14:53. | 0:37:21 | 0:37:25 | |
No! No, no, no. | 0:37:25 | 0:37:29 | |
BELL RINGS | 0:37:43 | 0:37:45 | |
Come on! | 0:37:46 | 0:37:47 | |
BELL RINGS | 0:37:47 | 0:37:49 | |
There's no way I can carry you, Emma, sorry. | 0:37:51 | 0:37:53 | |
Come on, Emma. Hang in there. | 0:38:00 | 0:38:01 | |
BELL RINGS | 0:38:04 | 0:38:05 | |
-How many more? -Nine. | 0:38:09 | 0:38:12 | |
-Including the four here? -Nine more. | 0:38:12 | 0:38:14 | |
It's been confirmed that Sibutramine causes cardiac problems | 0:38:16 | 0:38:19 | |
and interferes with meds. | 0:38:19 | 0:38:20 | |
-You said there wasn't a drugs issue. -What about you? | 0:38:20 | 0:38:23 | |
Moving elderly patients on reclining chairs! | 0:38:23 | 0:38:26 | |
No proper monitoring. | 0:38:26 | 0:38:27 | |
They've been taking it for months. | 0:38:27 | 0:38:29 | |
Would it have made any difference? | 0:38:29 | 0:38:31 | |
-I don't know but I have to inform the authorities. -Of course. | 0:38:31 | 0:38:34 | |
Can I get some help, please?! | 0:38:34 | 0:38:38 | |
-This is Emma, she's really sick. -OK. Bay one, please. | 0:38:38 | 0:38:41 | |
-Elle's missing patient. -Her pulse is really slow. | 0:38:41 | 0:38:44 | |
-That's all I know. -You checked her pulse? | 0:38:44 | 0:38:45 | |
-Wouldn't you? -OK. Can we get her on to the bed? -Yeah. | 0:38:45 | 0:38:49 | |
-But why is no-one telling me anything? -We've just had a call. | 0:38:52 | 0:38:55 | |
Gem found her. She's in Resus. | 0:38:55 | 0:38:57 | |
Oh, well done, Gem! | 0:39:01 | 0:39:02 | |
OK, let's get a gown on, the monitors on. | 0:39:02 | 0:39:05 | |
-IV access... -Do you know what's causing this? | 0:39:05 | 0:39:06 | |
Yeah, there it is. Look, the T6 boundary. | 0:39:06 | 0:39:09 | |
That confirms it. She has autonomic dysreflexia. | 0:39:09 | 0:39:13 | |
It's a hypertension caused by the involuntary nervous system | 0:39:13 | 0:39:16 | |
overreacting to external or bodily stimuli. | 0:39:16 | 0:39:19 | |
OK, what's the trigger? | 0:39:19 | 0:39:20 | |
Any number of things. Most commonly the bladder. | 0:39:20 | 0:39:23 | |
Her catheter bag is only half full. | 0:39:23 | 0:39:25 | |
How long ago was it last changed? | 0:39:25 | 0:39:26 | |
I didn't get a chance before she left. | 0:39:26 | 0:39:28 | |
Not since this morning, then. | 0:39:28 | 0:39:30 | |
Her bladder feels distended. Must be a blocked catheter. | 0:39:30 | 0:39:32 | |
OK, I need a bladder syringe and some sterile water, please. | 0:39:32 | 0:39:36 | |
-Thanks, Elle. -I told you not to go off! I told you to stay. | 0:39:36 | 0:39:41 | |
Doctor, you can't blame her. She didn't know. | 0:39:41 | 0:39:44 | |
-If you can't manage then... -Shouldn't be a manager? | 0:39:46 | 0:39:49 | |
I'm so sorry. I didn't realise. | 0:39:50 | 0:39:55 | |
And she was fine this morning. | 0:39:55 | 0:39:57 | |
-She didn't say a word. -OK. -I didn't know... -It's all right. | 0:39:57 | 0:40:04 | |
Can we keep up the cardiac monitoring, please? | 0:40:07 | 0:40:09 | |
-I'll be back in a minute. -Yeah. | 0:40:13 | 0:40:15 | |
There we go. It's flowing again. | 0:40:17 | 0:40:20 | |
We should start to see some improvement very quickly. | 0:40:20 | 0:40:24 | |
-Mum? -Oh, sweetheart! | 0:40:26 | 0:40:29 | |
Ethan, there was nothing more we could have done | 0:40:40 | 0:40:41 | |
and I will fight anyone who says different. | 0:40:41 | 0:40:44 | |
-Maybe Duffy was right. -About what? | 0:40:47 | 0:40:51 | |
What's the blog going to say? | 0:40:55 | 0:40:57 | |
Who do you think is behind it? | 0:41:01 | 0:41:03 | |
I have no idea. | 0:41:05 | 0:41:07 | |
-Gem, thank you so much. -Can I? -No. That's not necessary. | 0:41:16 | 0:41:21 | |
-I was just doing my job. -Doing it well. -Please take it. | 0:41:21 | 0:41:25 | |
-It was just lucky. -No. I know what you did. | 0:41:25 | 0:41:28 | |
Couldn't tell my boss that, could you? | 0:41:28 | 0:41:31 | |
I've been telling everybody. | 0:41:31 | 0:41:33 | |
Yeah. Lucky. | 0:41:35 | 0:41:38 | |
So this could happen any time now? | 0:41:39 | 0:41:42 | |
Well, we'll have to look after you better. | 0:41:42 | 0:41:45 | |
Be a bit stricter about cleaning your catheter for a start. | 0:41:45 | 0:41:48 | |
Thought I was going to die, Mum. | 0:41:48 | 0:41:50 | |
Oh, Emmy, love. You're safe now. | 0:41:50 | 0:41:54 | |
-I'm not going. Don't worry. -What? Where? | 0:41:55 | 0:41:58 | |
Anywhere. Cambridge. | 0:41:58 | 0:42:01 | |
-I'll stay at home. You were right. -But... -It's just not safe, is it? | 0:42:01 | 0:42:04 | |
Oh, love. | 0:42:05 | 0:42:07 | |
You were right, | 0:42:22 | 0:42:23 | |
I should have known what was going on and I owe you an apology. | 0:42:23 | 0:42:28 | |
No, you don't. | 0:42:28 | 0:42:29 | |
I'm sure you were doing your best. | 0:42:31 | 0:42:33 | |
But I'm still going to lose my job. | 0:42:33 | 0:42:35 | |
They'll shut us down. | 0:42:35 | 0:42:37 | |
-We won't survive this. -I'm sorry. | 0:42:37 | 0:42:39 | |
I don't mind working hard... | 0:42:41 | 0:42:44 | |
but sometimes it feels like they want us to fail. | 0:42:44 | 0:42:46 | |
-Hi, Gem. -Look. | 0:42:57 | 0:43:00 | |
I know it's not for me to say but... | 0:43:00 | 0:43:03 | |
Emma, what happened today only happened | 0:43:03 | 0:43:06 | |
because you didn't know about your condition. | 0:43:06 | 0:43:08 | |
I'm not even going to try and pronounce it. | 0:43:08 | 0:43:10 | |
But now you do you can research it, take proper precautions. | 0:43:10 | 0:43:13 | |
I only didn't die because you found me. | 0:43:13 | 0:43:16 | |
I only found you because you made a way of being found. | 0:43:16 | 0:43:19 | |
She's a very clever girl. | 0:43:19 | 0:43:20 | |
Woman, Mum. Remember? | 0:43:20 | 0:43:22 | |
Exactly. | 0:43:22 | 0:43:24 | |
And clever women should not turn down Cambridge. | 0:43:24 | 0:43:28 | |
Your mum's had a fright. | 0:43:28 | 0:43:29 | |
She loves you so she wants to hold you close. | 0:43:29 | 0:43:32 | |
To be honest, I wish I had a mum like her. | 0:43:34 | 0:43:36 | |
But you can't give in to it. You can't waste it. | 0:43:36 | 0:43:40 | |
You can't live your life without taking some risks. | 0:43:40 | 0:43:44 | |
Yeah, like taking a pee. | 0:43:44 | 0:43:45 | |
And what happens when I'm not around? I won't be forever. | 0:43:45 | 0:43:49 | |
-I thought you wanted me home? -I do. | 0:43:49 | 0:43:52 | |
But you know what? When you're pushing to get away... | 0:43:52 | 0:43:55 | |
it's so easy to try and hold on. | 0:43:55 | 0:43:58 | |
But when you said you didn't want to go... | 0:43:58 | 0:44:00 | |
That's not right. | 0:44:00 | 0:44:02 | |
I can't do that to you. | 0:44:02 | 0:44:04 | |
No, you are going to go to Cambridge. | 0:44:04 | 0:44:07 | |
I'm going to Cambridge. | 0:44:07 | 0:44:10 | |
Well done. | 0:44:16 | 0:44:18 | |
-And I'm sorry... -No problem. | 0:44:18 | 0:44:20 | |
You were doing what you thought was best for me, I know. | 0:44:20 | 0:44:23 | |
-What's wrong? -I'm moving out, Iain. | 0:44:26 | 0:44:29 | |
-I know you're just trying to protect me and that but... -I know. | 0:44:29 | 0:44:33 | |
It was always going to be difficult, work, home, | 0:44:33 | 0:44:35 | |
living in each others pockets | 0:44:35 | 0:44:37 | |
but we're still trying to work things out. | 0:44:37 | 0:44:39 | |
We kind of fix each other to the past. | 0:44:39 | 0:44:41 | |
And I don't want to go back there. | 0:44:41 | 0:44:43 | |
I want to stick with new Gem. | 0:44:43 | 0:44:45 | |
OK, so when are you going? | 0:44:48 | 0:44:50 | |
Not tonight or nothing. Not doing a flit. | 0:44:50 | 0:44:53 | |
I'm actually want to get something that I can afford by myself. | 0:44:53 | 0:44:56 | |
All right, it might be a ditch | 0:44:56 | 0:44:59 | |
but if you ever want you can come round and do some ironing, though. | 0:44:59 | 0:45:02 | |
You can get lost! | 0:45:02 | 0:45:04 | |
I know this feeling. | 0:45:18 | 0:45:20 | |
I'm not sure you do. | 0:45:23 | 0:45:24 | |
Look, there's no point dwelling. | 0:45:26 | 0:45:28 | |
Yeah, there's no point but... | 0:45:30 | 0:45:32 | |
But there is a PINT...for you. | 0:45:34 | 0:45:38 | |
If you want it. Elle's invite. | 0:45:38 | 0:45:40 | |
Drink - yeah, but... | 0:45:47 | 0:45:49 | |
-Company - no. Sorry -Hey. | 0:45:50 | 0:45:54 | |
First do no harm. | 0:45:58 | 0:46:00 | |
Tomorrow is another day, Ethan. | 0:46:02 | 0:46:04 | |
For some of us. | 0:46:09 | 0:46:10 | |
Shall we see what Rage in Resus has to say about this? | 0:46:17 | 0:46:20 | |
Look... | 0:46:21 | 0:46:23 | |
What about just me and you then? | 0:46:25 | 0:46:27 | |
A garlic crust and a bad film? | 0:46:29 | 0:46:32 | |
You haven't changed. | 0:46:38 | 0:46:40 | |
I'd really like that, yeah. | 0:46:43 | 0:46:44 | |
Subtitles by Red Bee Media | 0:47:08 | 0:47:11 |