Episode 25 Casualty

What has to happen before people listen?

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

in one of the richest countries in the world,

with one of the best health systems in the world.

This was to remember a dead man.

-Who's in charge?

-I am, actually.

No, I mean Clinical Lead.

Yes, that's me. I'm Acting Clinical Lead.

Live here with us.

Shall we see what Rage In Resus has to say about this?

MUFFLED DIALOGUE

He came into care a couple of years ago.

You'll be his first family.

We've read all the information you sent us about ten times.

More than.

The boys at the residential home call him Ellie,

but he doesn't like it.

Elliot's a lovely name. It's perfect.

Shall we go and meet him?

Elliot, this is Callum and Rebecca.

Come on, don't be shy.

They'd like you to come and live with them for a while.

Hello, Elliot. I'm Callum.

MUSIC BLASTS

-BANGING

-Elliot, open this door now!

Elliot? Please, let's talk about this!

Elliot, open this door now!

Please! Elliot!

# Ah! If she called me, I'd be there

# I'd come running anywhere

# She's all I need in all my life. #

You're a great loss to drunken karaoke.

Well, them days aren't behind me yet, Samantha.

Oh! They will be if you call me Samantha again.

-DISPATCHER:

-3006, come in.

3006, go ahead, over.

I have a red call for you, please.

40-year-old female fallen down stairs.

Conscious and breathing, but unsure of injuries at this time.

Roger that. Received and mobile. Over.

# Su-Su-Sussudio...#

SHE TURNS RADIO OFF

You are such a spoilsport!

SIRENS WAIL

Right, here we go.

KNOCK AT DOOR

Rebecca's here. She's just here.

Hiya, Rebecca.

So, you fell down the stairs, yeah? Is that right?

-I just put my hand out and...

-Pushed. Elliot pushed you.

He didn't mean to. Try him again.

Is Elliot your son?

Foster son.

OK, I've got a radial pulse, but it's thready and she's tachycardic.

OK, I'm going to get a line in and draw up some TXA.

Do you want to tell me exactly where it hurts?

It's my back. All down there.

I'm just going to check your chest, OK?

Still going to voicemail. He won't go far.

He's really smashed his hand up.

Collar, vac mat and scoop, please.

Right, Rebecca, I think you deserve some pain relief, OK?

You're going to feel a little sharp scratch.

No! I need to... There's something else.

I'm pregnant.

I was waiting for the 12-week scan before I said anything.

Oh, no. What's he done?

Sam?

Hey. So...it's your dad's big party this weekend.

-Yeah.

-Nice dress!

I had to push the boat out. It's the big 6-0, after all.

He's been in since five dealing with an RTC.

I'm very impressed.

I know, I'm choking on my words here.

OK, well, how long's the waiting list?

Um...yeah, put her name down. Sort that out, please. Thank you.

Hiya. Her name's Charlotte Thomas.

-Miller.

-Sorry, er...Charlotte Miller.

KNOCK AT DOOR

OK. Perfect. Thanks.

-Hey.

-You've had a morning of it already.

Yeah. And then I've got to deal with the ED taxi bill, of all things.

-Milk, one sugar?

-Yes.

Um...thank you for last night.

Do you want to get a drink later?

I can't. I've got a train to catch, remember?

Oh, yeah. I just didn't want it to be awkward here,

you know, because now I'm your boss.

Boss?

OK, yeah, strictly professional within these four walls,

but, er...outside, you're all mine.

-KNOCK AT DOOR

-Sorry, Dr Hardy.

Mrs Beauchamp's been on my case trying to get hold of you.

She's in for chemo today.

-She's here?

-Mm.

Adult priority, ETA four minutes.

Er...right, well, she's just going to have to wait for now.

This is Rebecca McGeogh, she's 40 years old.

I've given her one gram of TXA and one gram of IV paracetamol.

She's fully immobilised, due to mechanism.

OK. All right, once ABCs are done, let's get a second IV access

-and a venous blood gas.

-The baby?

Your pregnancy stands a better chance if we can get you stable first, OK?

Let's fast-bleep the Gynae registrar.

-Nothing from Elliot?

-He knows where we are.

I'd never have let him near you if I'd known.

That stupid letter.

The smallest thing and he just flips out.

That letter wasn't a small thing.

Airway and breathing are fine. Circulation's not great.

She's tachycardic, low BP and lower abdominal pain.

OK. Let's get FBC, U&Es, group and save, CK and clotting.

And can we call the transfusion lab? We're going to need some blood.

Dr Hardy?

OK, let's get the ultrasound over here now.

Can we give Obstetrics a heads-up about a potential placenta abruption?

Right, we'll start with two units of O neg, and can we get ready to logroll?

I've rang another couple of other places, left my number.

Fingers crossed, eh?

Who's popped your bubble?

It's just weird, telling everyone she's Charlotte Miller.

Not this again. That's just who she is.

Not having the same name as my own daughter just doesn't feel right.

Rebecca McGeogh. Is she here?

That's the woman in Resus, isn't it?

Um...yeah. The doctors are probably going to be with her at the minute.

In the meantime, why don't I take a look at that hand?

Nah, you're all right.

Why don't I be the judge of that?

Come on.

Don't sweat. I'm getting help.

And don't put blood on the seats, Nan paid extra for them.

Emergency! I need a doctor!

A man is on his last legs out here!

Hello, I'm Nurse Hide. How can I help you?

-Nurse?

-Mm.

I guess beggars can't be choosers.

I guess not. You can't park here.

I've got a blind man in here dying

and you're complaining about my parking?!

I'm not blind, I'm visually impaired!

I found him on the floor, by the radiator,

his legs being cooked up like a couple of spare ribs.

Why didn't you call an ambulance?

Glen? Could I have that trolley in there, please?

I told her, no ambulances, no hospital.

I've had worse paper cuts.

He don't listen to no-one.

And you are who exactly? His, er...daughter?

Shade of me, shade of him, what do you think?

And you're wondering why you're still a nurse!

Why don't I find somebody for you to talk to while you wait for an X-ray?

I just want to see Rebecca.

OK. He'll need a temporary dressing

-and let me know when the results come back.

-Yeah, sure.

And, um...can we get the safeguarding team down here, please?

OK.

Has this ever happened before?

What we're going to do is check your hand over

and then I'll see how your mum's doing, OK?

Foster mum. My real mum's a waste.

I'm sure that's not true.

Nah, she's a regular hero, my real mum.

The one letter I get from her, she spells my name wrong

and she writes it in felt-tip, like a child.

It's probably good she doesn't want to meet me.

OK, there's free fluid in the splenorenal angle.

It's likely blood.

It's probably the spleen. Can we let theatre know?

We might have a bit of a wait.

They're playing catch-up after the RTC.

-What about the baby?

-I can have a look now.

What is it?

Everything's going to be all right, you hear me?

Dr Hardy, a word?

Er...I'm a bit busy Is there someone else?

No, there isn't. I'll wait.

FOETAL HEARTBEAT

OK, that's a good sign,

but, er...we do need to have a look at your scans.

Are you hoping for a boy or a girl?

It really doesn't matter.

Five rounds of IVF, two ICSI, you get a bit bruised by it all.

It's why we stopped trying.

And now this. I'm going to be a dad.

One step at a time.

Sorry. It's Rebecca, isn't it?

I just thought I'd let you know that Elliot's asking after you.

-He's here?

-Is he all right?

Yeah. He's up in X-ray. He's hurt his hand.

Yeah, with a punch that was meant for me.

Go and talk to him. Please.

He'll be beating himself up about all this.

You're a saint, you know that?

I don't deserve you.

Dr Hardy?

-Go on. I've got this.

-Thank you.

Why are my patients being moved from CDU?

Sorry?

The bed managers are taking them to the wards.

A directive from management,

which I presumed was an euphemism for you, and...

Oh. Well, if you didn't clear this, then who did?

Can you give me ten minutes?

Oh. I was trying to get hold of you.

Are you behind the CDU decision?

Well, that's why I was calling.

The management team asked my opinion, so I gave it.

Why were they calling you?

You were lending out ED resources free of charge.

The last time I checked, we were all on the same side.

Really? Huh!

Who told you that - Jac Naylor?

Mm. She's played you beautifully, hasn't she?

No. I think it's the best decision for the hospital.

That's very grand. Is it the best decision for the ED?

Every department is out for itself.

The ED has a black hole at its heart

and if you can't deal with it, they will find someone who can.

I have ideas to tackle that without having to go to extremes.

The problem with you, Ethan, is that the job requires tough decisions,

and you're petrified of upsetting anyone.

-I try to respect my colleagues.

-No, you just want to make friends.

A little pat on the back at the end of the shift. You're in the wrong job.

No. I will make savings elsewhere.

Something that works for staff AND patients.

Oh, don't be so naive.

Do you really think you'll have another job in management if you mess this up? No.

Your reputation is on the line.

We're going to do this my way. CDU stays.

Oh, you have?

That's excellent news!

We've been ringing everywhere.

Her name's Charlotte. Charlotte Thomas.

David, I'd like a falls workup, please.

That's next on my list.

Hospitals and me don't see eye-to-eye.

Keith was admitted to St James a few months ago.

Hi, Keith, I'm Dr Gardner.

Just give me some of those knockout painkillers and I'll get out your way.

You see what I have to deal with?

-This is Hanna, his reader.

-Hello.

Yes, I read to him twice a week, for my sins.

And that's how I knew something was wrong when I knocked on the door.

I'm thinking either he's going, or he's gone.

And there'll be hell to pay if you give up the ghost before we finish!

30 pages to go.

Pipe down, girl!

Said she was a reader, turns out she's a talker!

There's nothing about her life that I don't know, believe me!

Well, that's gratitude for you.

KEITH LAUGHS AND COUGHS

OK, Keith, relax. It's OK, it's OK.

David, let's get a chest X-ray and blood gas,

see if we can't get a clearer picture,

then dress those wounds, please.

Um...Keith, your sight, how many fingers am I holding up?

I don't know how he copes on his own.

I'm not good at distances and I don't like games!

-OK. Let's get you into a gown.

-I don't need dressing!

Lord, have patience! These people trying to help you!

How is she?

That all you got to say?

She needs an operation.

Look, I didn't want to hurt her, all right?

I was angry. She was in my way and I just...

Look, I didn't mean to.

She's going to be all right, though, yeah?

-Fingers crossed.

-Look, I'm sorry I lost control like that.

We can't carry on like this, Elliot.

-That's all you got, a shrug?

-Well, I've said sorry, haven't I?!

-And she's going to be all right, isn't she?!

-She's pregnant.

Rebecca's pregnant!

She nearly lost the baby because of you!

Why didn't you tell me?

I've only just found out myself.

I need to see her.

The last thing she needs is you getting her all worked up.

How we doing in here?

Your X-ray results are on the system,

so I'll get a doctor to come over and talk you through it, OK?

Well, well, well! I've only gone and bagged her a spot in the hospital creche, haven't I?

-How do you like them apples?

-They said they were full when I rang!

Well, a bit of boyish Welsh twinkle

goes a long way in these parts, you see.

-You are a star, Glen Thomas.

-Thank you.

Popular man.

Well, trying to sort out our daughter's childcare

turned out to be a major headache.

Right, then, here we are, let's get you off this chair

and on to the submarine, shall we?

There we go. Lift your feet.

One, two, three, there you go. Up you come.

-There we go.

-I was a family man once.

I hope you do a better job of it than I did.

-You got kids, have you?

-I got memories.

Take my advice, hold on to the memories for dear life.

They're the only things that last.

Oh, er...test results for Rebecca McGeogh.

-Thanks.

-Oh, look at that one.

-Touched some nerves.

-Yeah, Ethan's.

-What's happened now?

-Rage In Resus.

Tons of messages, people begging for another instalment.

It's a hard gig, running this place.

Yeah, and he makes it look so easy, don't he? Heh-heh-heh!

What's the problem?

Nothing I can't handle.

You can tell Dr Gardner she can send patients to CDU again.

With pleasure.

-Do you have Rebecca McGeogh's results?

-Yeah.

Can you find Callum?

Last thing I need is those two going toe-to-toe.

I haven't seen him, but I'm sure he won't be long.

The obstetrician's looked at your scans.

She would like us to keep monitoring you,

but there's been no sign of a placenta abruption.

So it's good news. The baby's fine.

Don't! You'll start me off.

I'll give you a couple of minutes, then we need to get that hand sorted out.

-What's wrong?

-It's fine.

They think everything's fine with the baby.

Hey! I've been worried sick about you.

-You've looked better.

-You!

He, er...he told me about the baby.

You're going to be a big brother.

What's that on your hand?

-What is it?

-How long have you had these?

I don't know. I'm itching all over.

Yeah, it looks like an allergic reaction.

Can we stop the transfusion, please?

-The back of my throat, it's....

-You said she's all right!

You said everything's going to be all right!

Don't just stand there, do something!

Right, it's best if we wait outside.

-Wait, hold on.

-Come on.

We'll just be outside if you need us, OK?

Why can't they do something for her?

What is it with you, eh?!

Everywhere you go, trouble follows you!

When's it going to stop?!

I just want to be alone for a bit, yeah?

What do you think?

It's a ring.

-And...?

-An engagement ring.

Oh, sweet! I didn't think you cared.

Very funny.

All right, tell me, who's the lucky recipient?

David!

We're a...we're a family now and I just want to make it official.

So...what do you think?

Well, if she said yes to you once,

she's more likely to say yes to you again.

David?

Looks like pulmonary oedema. Going to put him on diuretics.

..Is a real nasty bad man! JB in a real fix now, isn't it?

Hello. Hey.

One hour of the Bible, one chapter of 007. That's the deal.

Don't tell my pastor.

Keith, I've checked your results

and the CT scan has ruled out a clot on the lungs, which is good,

but there is fluid build-up on your lungs,

which is causing the shortness of breath,

so I'm going to put you on some diuretics.

-What good will that do?

-Hopefully, it will flush the fluid away,

but we do need to find out the underlying cause,

so, can you sit forward for me?

What do you think you're doing?!

-I just need to listen to your chest.

-Get your hands off!

-Hush now. What is the fuss about?

-Relax, it's fine.

ETHAN SIGHS

You might have called it right.

She's getting a lot better now we've stopped the transfusion.

Good. Um...can we send the O neg back to lab, then,

in case we get charged for it?

Because...you would not believe how much we waste on blood each month.

-The lab are doing a full cross-match on her bloods now.

-OK.

-Who are they?

-Er...the hospital finance managers.

Were you expecting them?

-KNOCK AT DOOR

-Sorry, Dr Hardy.

Some people from upstairs.

I said you were busy, but they seem pretty insistent.

-OK. Can you tell them to take a seat and I'll be two minutes.

-Sure.

Right, let's start her on a very slow bag of IV fluids

to keep the cannula patent,

and can you let me know as soon as the cross-match comes back?

You'll be fine. I know you will.

How long before this stuff kicks in?

We should see some improvement fairly quickly.

Then I can get back home?

One step at a time.

That's not a home, it's a skip with a front door.

-Don't just sit there, read!

-I'm resting.

If you're not going to read, there's no point you being here, is there?

-Unless you want to pray?

-No, I do not!

Maybe you want to think on your sins.

My sins are none of your business!

I should have said no the first moment you knocked on my door.

I thought you a lonely old man who needed a bit of company.

-I didn't know...

-You're the one who needs a friend, not me!

I guess I should be going now.

The manager is going to hit the roof if I'm late again.

But we are going to get to the end of this,

even if it is the last thing I do.

-Hey.

-Hey.

-You haven't seen my patient, have you?

-A really tall kid.

-Er...no.

Robyn, could you, um...could you have a look at this for me?

Hey, babe, want to get hitched?

What's this?

Well, it's temporary until I get you a real one.

No, I don't mean the ring, I mean this.

Well, it's time for us to be a proper family, isn't it?

And do we get to change our names into the bargain?

-Hm?

-I know you told the nurses she's called Charlotte Thomas.

After everything we talked about!

Me and Charlotte are a proper family.

You don't get to decide on that.

OK, thanks.

Right, I'm going to chase up theatre now. Won't be long.

-Where's Elliot?

-He's getting his hand sorted.

As long as he's not causing trouble, I'm happy.

You are so harsh on him.

I think we have to face it.

Maybe we've done all we can for him.

We're not talking about this again.

We always knew there was a risk he'd go off the rails,

especially given his background.

He's a teenager who's just found out his mother doesn't want to see him.

-It's more than that.

-I said I won't talk about this.

Somebody has to.

He's part of our family.

I don't know what more we can do for him.

Sorry, guys, you haven't seen Elliot anywhere, have you?

SHE SIGHS

You are going to need that drink later on.

-Yes, definitely.

-What did they want?

They're here to review the staffing costs.

We've overspent on locums recently.

It's routine. It's under control.

SHE READS: God shall take away his part of the book of life,

and out of the holy city,

and from the things that are written in this book.

Finish.

About time I let you be.

-WEAKLY:

-If that's what you want, go.

I don't know when I'm going to be seeing you next.

I've got a few busy weeks ahead.

Choir practice, the job.

And Nanna will be needing my help.

Go on, then, run away, like the rest of them.

You ever wonder why?

I made some mistakes, I know I did.

Jenna, please, don't go!

-I'm Hanna.

-Sorry. Hanna, I meant Hanna.

Stay!

I can't.

HE GASPS FOR BREATH

RAPID BEEPING

-KEITH WHEEZES

-Keith?

-I can't breathe!

Caz, I'm going to need some help over here, please.

Could you get Dr Gardner for me right away?

Come on, Keith, sit up.

That's it. Come on. That's it. Stay with us, Keith.

DISTANT SIREN WAILS

Do you not think you've given us enough to worry about?

Just leave me alone, yeah?

Rebecca's in there in pieces, worrying!

Look, I'm not stupid, all right?

I know what your game is.

For months now, you've been dropping hints. I didn't see it before.

But you're the one wanted me to do this.

I didn't get why, but now I do.

It's not like that. I just want you to be happy.

No. You thought she'd take me back.

Get me out of your hair. That's right, isn't it?

Tell me what else I can do, Elliot! Eh?!

You're out of control! You know you are!

Look what you did to Rebecca!

-I wouldn't do anything to hurt her!

-You hurt her every day!

Every time you go wild, come in late,

answer back, come home drunk!

You hurt her so much, she's numb to it!

Look, I'm sorry you never had a real family of your own.

But that doesn't mean you get to rip ours apart.

-We both want what's best for her, don't we?

-Of course I do.

There you are! I've been looking everywhere for you.

We need to get that plaster on your arm.

-Is everything OK?

-Yeah.

Me and Elliot are just agreeing for once, aren't we?

Right, come on, let's get you inside.

Let's give him another 500 micrograms of atropine.

He's in danger of arrest.

-Is that Keith Jeffries?

-Mm-hm.

-St James have sent his notes over.

Well, I'm sorry, but I think that particular horse has bolted.

Did he mention that he's got a community DNAR in place?

-SHE SIGHS

-Thanks, Duffy.

Right, then, I will check with his GP

and let his family members know what's happening.

Will you pace him and come and find me if there's any change?

David, did he give any next of kin?

No. His wife has died

and, er...he didn't mention anybody else to me.

I'll task Hanna, maybe she knows.

Hey. Haematology have come back with Rebecca's results.

-That was quick.

-It's amazing what you get if you ask nicely.

Her blood type isn't rare, but she does have antibodies in her system.

That will explain the allergic reaction.

I'll get the transfusion lab to order up some of her blood.

It should be here in no time.

No, don't. Just let Keller know.

Because if we can get her up to theatre soon,

we can put it on their bottom line, not ours.

-What?

-You don't understand, I have to make savings.

But what if she crashes, or her BP falls?

She's stable. And she's my patient, so it's my decision.

-You're the boss.

-Yes, I am,

so, why does everyone keep questioning my decisions?

Problems?

I just saw the bods from upstairs.

It's never a good sign when the suits pay us a visit.

He's under so much pressure.

Hi, is that the transfusion lab?

Yes, Dr Hardy's asked me to make an order.

We need fully cross-matched blood products as soon as possible, please.

STEADY BEEPING

Yes.

Yes. Thank you, Doctor.

I'll let you know how we proceed with him.

Yeah. OK, bye. Thanks.

I'm going to make a move now.

I'm late for work and my boss has a hot temper.

How well do you know him?

Been going twice a week since January.

-Wow! That's dedication.

-Hm!

My nan says the reward is in heaven. It'd better be worth it.

Hanna, Keith is very ill.

I just confirmed with his GP that he has a non-resuscitation order,

so I urgently need to find his family members.

On his notes, there's a name, Jenna?

His daughter. But they don't talk or nothing.

Big bust-up.

I know you're upset, but you were obviously close.

If you could stay with him until I can contact his daughter...

I can't lose this job.

He wouldn't want me in there, anyway.

But you're friends.

You saw what I saw.

If you can look past that...

..you're a better person than me.

I wouldn't worry about it too much.

People fall out with their parents all the time.

I dyed my hair green once. Mine didn't speak to me for weeks.

Everyone else I know, their parents look out for them.

And people will do anything for their kids, won't they?

What's so wrong with me?

Ah, Dr Hardy.

This blood's for you. You need to sign for it.

This must be for upstairs. We haven't ordered any.

Well, it says it's for the ED

and it's got your name on the order form.

LABOURED BREATHING

Keith?

Are you comfortable?

You went into heart block.

So we inserted a pacing wire.

It should help.

-WEAKLY:

-Only good for scrap.

We need to talk about your DNAR.

Your GP said she discussed it with you again two weeks ago.

I'm OK with it.

Had a lot of time to think about it.

I left a message with your daughter, but, um...

..she hasn't called back just yet.

And Hanna, where is she?

She had to go to work.

Can't blame her.

I've done a lot of bad things in my life.

You know what I'm talking about.

But I've paid the price, Doc, believe me.

They all left me.

SHE BREATHES DEEPLY

Let's have a look at that hand.

I had one of these once. Even the teachers wanted to draw on it.

What's up?

Look, I'm going to call my caseworker.

Why? What are you talking about?

Me being with you just isn't working any more.

I've got all these things going on in my head.

I just need to get away from you all.

Did you put him up to this?

All the fighting, all the arguing.

It's not good.

Elliot, we're a family.

-Just hear him out.

-He's not going anywhere!

You're my Elliot.

You're my son.

No.

I'm none of those things.

And you saying that just makes it worse.

Elliot!

I specifically asked you NOT to order that blood.

I know, but we have a patient with rare antibodies

and if you send that blood back, she'll have no blood suitable for her.

It's going to cost this department thousands!

-Who cares?

-I do!

Alicia, that is my job.

Have you any idea what I'm having to deal with?

I have management looking over my shoulder 24/7.

They're trying to close CDU down.

Ethan, we're all trying to help you.

I have to make this budget work, OK?

Because if I don't, the board are going to get rid of me, like that.

I'm not a failure.

Every other part of my life might be a car crash,

but I'm not going to fail at this.

Nobody thinks that.

OK? Well, at least nobody that matters.

You're amazing at what you do.

KNOCK AT DOOR

It's Rebecca McGeogh.

There's a minor PV bleed and her BP's falling.

MACHINE BEEPS

Can I get the fast scanner, please?

She's bleeding! You said she'd be all right!

Yeah. Um...Obs and Gynae were happy with the scans,

but obviously, things can change.

-I'm really light-headed.

-OK, let's fast-bleep the Gynae registrar,

and can we let theatre know there's been a change in her condition?

Yeah, the splenic bleed's got worse,

which I suspect is causing the PV bleed.

-Is it the baby?

-I don't know, I'm afraid,

but your blood pressure is very low, which is causing your dizziness,

so we need to need to fix that before you go to theatre.

Let's transfuse. Four units stat, and send the rest up to Keller.

Er...are you OK with this?

-Yeah, of course.

-Thank you.

Oh!

Let's give him another 2.5 milligrams of morphine IV.

Should I tell the ward he's not coming up?

They're...they're holding a bed for him.

Yeah.

Right, well, my shift finished half an hour ago.

Yes, yes. I'll let the late team know to keep an eye on him.

-WEAKLY:

-Jenna, read to me.

You mean Hanna, Keith.

Ah.

Remember, she went to work?

-WEAKLY:

-Oh, yeah.

It's OK.

We're going to make you as comfortable as possible.

I'm, er...I'm going to stay.

You sure? You've been on since last night.

Yeah, but...nobody should be alone.

Not at the end.

Hi. Er...her blood pressure has risen.

She's doing loads better. The Gynae reg is on her way down.

HE EXHALES

Thank you.

Thank you for everything.

Oh, things can't go on like this.

I'm juggling budgets and patients and...

..just waiting for the next disaster to unfold.

Look, today has been...a hard day.

Tomorrow's going to be no different.

The situation is a lot worse than I thought.

And all my ideas to save money...

It's not enough.

Mrs Beauchamp said I couldn't handle this.

Well, then, prove her wrong.

Do what you need to do, Ethan.

And no matter what that is, I'll be right behind you.

OK?

Anyway, I'd better get back.

Er...hi. It's, um...Ethan Hardy from the ED.

Could I speak to Serena Campbell, please?

ELEVATOR BLEEPS

ELEVATOR: Doors closing.

Robyn, I need you to listen. This is very important.

You've got as long as it takes to get to the third floor.

But that's my problem, isn't it?

I'm running out of time every day.

Stop doing that.

You can't use dying as a get-out of-jail-free card.

-A bit harsh, isn't it?

-But it's true.

You left me to bring up our daughter all by myself.

And there were days...

You repeat this and I will never forgive you.

There were days when I couldn't cope.

When if somebody had come up to me and offered to take her off my hands,

I would have gladly given her away.

Because I was desperate and alone, and in a really dark place.

Why have you never told me that?

Me and Charlotte coped before you showed back up.

You don't get to decide if we live happily ever after.

Then let me join your family.

I want to be a part of what you two have got.

And if that means becoming a Miller...

..then that's what I want.

ELEVATOR: Doors opening.

Lift going down.

FOETAL HEARTBEAT

The registrar's on her way down.

She'll want to see you straightaway, OK?

You heard what he said. He doesn't want to stay.

He doesn't know what he wants.

He's a mixed-up teenager, just like this baby will be one day.

It'll be different this time.

Why? You're not going to change.

This baby's ours.

Elliot's nothing to do with us.

He's like he is because everyone he's ever trusted

has treated him as if he's disposable.

I won't do that!

We should be adopting him, not abandoning him!

You can't fix damaged goods!

I'm sorry, but it's the truth.

That's why I didn't tell you.

I knew you'd use it as an excuse to push Elliot away.

I'm trying to protect us.

Elliot's the one who needs protection!

You want to be a dad? Well, you can start now.

Because there's a scared little boy out there and he's hurting.

And he's your son, whether you like it or not!

The registrar would like to take you straight to theatre. Is that OK?

No, not you. You need to stay away.

SHE READS: And God said, "Let there be light, and there was light.

And God saw the light, that it was good.

HE STRUGGLES FOR BREATH

I'm here.

And God divided the... And God di...

She's gone up to the ward.

She wants to talk to you before she goes into theatre.

I'm waiting for my caseworker.

Don't worry, I'll deal with her.

Rebecca's right.

You can't leave us.

I'm not sure my head's right.

It's about as right as mine,

so I guess we'll just have to try our best to muddle through.

Like a normal family, eh?

-You think?

-I don't know, Elliot.

I'm making this up as much as you are.

But we'll get help...

..and you'll stay, yeah?

WHISPERS: Yeah.

DISTANT SIREN WAILS

Never had you down as a Glenn Miller fan.

-Yeah, well, we're recent converts, aren't we?

-Mm-hm.

Look, if anybody wants to go down to the pub, you know where to find us.

Don't know if I've mentioned it, but I'm going to a party.

All right, stop rubbing it in.

Er...could you hand these out, please?

That looks serious.

There'll be an official announcement at the end of the week,

but I've decided to end my CDU initiative.

Unfortunately, as you can see...

-What?!

-You're cancelling leave?

We've overspent with agency and locum staff

and I've had to make some savings.

I've got leave booked for Monday. I'm in Scotland all weekend.

Yeah, it's not a decision I've taken lightly.

OK.

Ethan?

You are going to have a riot on your hands if you do this.

I'm sorry about your plans.

Yeah, it's a nightmare.

You know how hard we work. You can't do this.

You said that you would back me up whatever I decided to do.

Yeah, but...

-Talk to me. Come on.

-No.

I'm your boss, OK?

So whatever happens outside, it stays outside.

And in here, I tell you what to do and you do it!

This isn't you talking.

It is now.

It has to be.

SHE SIGHS

-I'm going to go and let his GP know.

-Sure.

I told him to go stick his job, and it felt so good!

-I should have done it months ago!

-Hanna...

-Was he...?

-It was peaceful.

If you give me a minute, I'll take you in, if you like.

You still going to the party?

It's my dad's 60th, I can't miss it.

I'll have to just leave Sunday evening.

Yeah, well, make Ethan pay for it.

You know, Robyn's just asked me again if we're going to the pub.

There's something going on with those two.

Yeah, I'll be over later.

You know, I would love to know what Rage In Resus thinks about all this.

So would I.

SHE SIGHS