Episode 25 Casualty


Episode 25

The pressures of clinical lead cause Ethan to lose his way as a doctor.


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Transcript


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What has to happen before people listen?

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

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in one of the richest countries in the world,

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with one of the best health systems in the world.

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This was to remember a dead man.

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-Who's in charge?

-I am, actually.

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No, I mean Clinical Lead.

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

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Live here with us.

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

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MUFFLED DIALOGUE

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He came into care a couple of years ago.

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You'll be his first family.

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

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More than.

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The boys at the residential home call him Ellie,

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but he doesn't like it.

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

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Shall we go and meet him?

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Elliot, this is Callum and Rebecca.

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Come on, don't be shy.

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

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Hello, Elliot. I'm Callum.

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MUSIC BLASTS

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-BANGING

-Elliot, open this door now!

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Elliot? Please, let's talk about this!

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Elliot, open this door now!

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Please! Elliot!

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

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# I'd come running anywhere

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

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You're a great loss to drunken karaoke.

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

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

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-DISPATCHER:

-3006, come in.

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3006, go ahead, over.

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I have a red call for you, please.

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40-year-old female fallen down stairs.

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

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Roger that. Received and mobile. Over.

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# Su-Su-Sussudio...#

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SHE TURNS RADIO OFF

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You are such a spoilsport!

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SIRENS WAIL

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Right, here we go.

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KNOCK AT DOOR

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Rebecca's here. She's just here.

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Hiya, Rebecca.

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

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-I just put my hand out and...

-Pushed. Elliot pushed you.

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He didn't mean to. Try him again.

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Is Elliot your son?

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Foster son.

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

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

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Do you want to tell me exactly where it hurts?

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It's my back. All down there.

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

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

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He's really smashed his hand up.

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Collar, vac mat and scoop, please.

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

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You're going to feel a little sharp scratch.

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

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I'm pregnant.

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

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Oh, no. What's he done?

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Sam?

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

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-Yeah.

-Nice dress!

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

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

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I'm very impressed.

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

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

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

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Hiya. Her name's Charlotte Thomas.

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-Miller.

-Sorry, er...Charlotte Miller.

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KNOCK AT DOOR

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OK. Perfect. Thanks.

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-Hey.

-You've had a morning of it already.

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

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-Milk, one sugar?

-Yes.

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Um...thank you for last night.

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Do you want to get a drink later?

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

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

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you know, because now I'm your boss.

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Boss?

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OK, yeah, strictly professional within these four walls,

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

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-KNOCK AT DOOR

-Sorry, Dr Hardy.

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

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She's in for chemo today.

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-She's here?

-Mm.

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Adult priority, ETA four minutes.

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

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

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

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She's fully immobilised, due to mechanism.

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

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-and a venous blood gas.

-The baby?

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

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Let's fast-bleep the Gynae registrar.

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-Nothing from Elliot?

-He knows where we are.

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

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That stupid letter.

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The smallest thing and he just flips out.

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That letter wasn't a small thing.

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

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

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

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

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Dr Hardy?

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

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

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

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

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Fingers crossed, eh?

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Who's popped your bubble?

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

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

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

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Rebecca McGeogh. Is she here?

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

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

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

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Nah, you're all right.

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Why don't I be the judge of that?

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Come on.

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Don't sweat. I'm getting help.

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

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Emergency! I need a doctor!

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A man is on his last legs out here!

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

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-Nurse?

-Mm.

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I guess beggars can't be choosers.

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I guess not. You can't park here.

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I've got a blind man in here dying

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and you're complaining about my parking?!

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

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I found him on the floor, by the radiator,

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

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Why didn't you call an ambulance?

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

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I told her, no ambulances, no hospital.

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I've had worse paper cuts.

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He don't listen to no-one.

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

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

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

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

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I just want to see Rebecca.

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OK. He'll need a temporary dressing

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-and let me know when the results come back.

-Yeah, sure.

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

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OK.

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Has this ever happened before?

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

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

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Foster mum. My real mum's a waste.

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I'm sure that's not true.

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

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

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

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

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

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It's likely blood.

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

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We might have a bit of a wait.

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They're playing catch-up after the RTC.

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-What about the baby?

-I can have a look now.

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What is it?

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

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Dr Hardy, a word?

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

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

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FOETAL HEARTBEAT

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OK, that's a good sign,

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

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Are you hoping for a boy or a girl?

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It really doesn't matter.

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

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It's why we stopped trying.

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

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One step at a time.

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

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

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-He's here?

-Is he all right?

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

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Yeah, with a punch that was meant for me.

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Go and talk to him. Please.

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He'll be beating himself up about all this.

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You're a saint, you know that?

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I don't deserve you.

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Dr Hardy?

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-Go on. I've got this.

-Thank you.

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Why are my patients being moved from CDU?

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Sorry?

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The bed managers are taking them to the wards.

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A directive from management,

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

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

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Can you give me ten minutes?

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Oh. I was trying to get hold of you.

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Are you behind the CDU decision?

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Well, that's why I was calling.

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

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Why were they calling you?

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You were lending out ED resources free of charge.

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

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Really? Huh!

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Who told you that - Jac Naylor?

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

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

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

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Every department is out for itself.

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The ED has a black hole at its heart

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

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

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

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and you're petrified of upsetting anyone.

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-I try to respect my colleagues.

-No, you just want to make friends.

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

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No. I will make savings elsewhere.

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Something that works for staff AND patients.

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Oh, don't be so naive.

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

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Your reputation is on the line.

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

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Oh, you have?

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That's excellent news!

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We've been ringing everywhere.

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Her name's Charlotte. Charlotte Thomas.

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

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That's next on my list.

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

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Keith was admitted to St James a few months ago.

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Hi, Keith, I'm Dr Gardner.

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

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You see what I have to deal with?

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-This is Hanna, his reader.

-Hello.

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

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

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

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

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30 pages to go.

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Pipe down, girl!

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

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

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Well, that's gratitude for you.

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KEITH LAUGHS AND COUGHS

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

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

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see if we can't get a clearer picture,

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then dress those wounds, please.

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

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

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

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

-I don't need dressing!

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

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How is she?

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That all you got to say?

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She needs an operation.

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

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

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Look, I didn't mean to.

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

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-Fingers crossed.

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

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We can't carry on like this, Elliot.

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-That's all you got, a shrug?

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

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

-She's pregnant.

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Rebecca's pregnant!

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She nearly lost the baby because of you!

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Why didn't you tell me?

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I've only just found out myself.

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I need to see her.

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

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How we doing in here?

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Your X-ray results are on the system,

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

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

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-How do you like them apples?

-They said they were full when I rang!

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Well, a bit of boyish Welsh twinkle

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goes a long way in these parts, you see.

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-You are a star, Glen Thomas.

-Thank you.

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Popular man.

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Well, trying to sort out our daughter's childcare

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turned out to be a major headache.

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

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and on to the submarine, shall we?

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There we go. Lift your feet.

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

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-There we go.

-I was a family man once.

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

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-You got kids, have you?

-I got memories.

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

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They're the only things that last.

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

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-Thanks.

-Oh, look at that one.

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-Touched some nerves.

-Yeah, Ethan's.

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-What's happened now?

-Rage In Resus.

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Tons of messages, people begging for another instalment.

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It's a hard gig, running this place.

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

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What's the problem?

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Nothing I can't handle.

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

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With pleasure.

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-Do you have Rebecca McGeogh's results?

-Yeah.

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Can you find Callum?

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

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

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The obstetrician's looked at your scans.

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She would like us to keep monitoring you,

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

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

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Don't! You'll start me off.

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

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-What's wrong?

-It's fine.

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They think everything's fine with the baby.

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Hey! I've been worried sick about you.

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-You've looked better.

-You!

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

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You're going to be a big brother.

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What's that on your hand?

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-What is it?

-How long have you had these?

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

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Yeah, it looks like an allergic reaction.

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Can we stop the transfusion, please?

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

-You said she's all right!

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You said everything's going to be all right!

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Don't just stand there, do something!

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Right, it's best if we wait outside.

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-Wait, hold on.

-Come on.

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

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Why can't they do something for her?

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What is it with you, eh?!

0:17:350:17:36

Everywhere you go, trouble follows you!

0:17:360:17:38

When's it going to stop?!

0:17:380:17:40

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

0:17:420:17:44

What do you think?

0:17:510:17:53

It's a ring.

0:17:550:17:57

-And...?

-An engagement ring.

0:17:570:18:00

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

0:18:000:18:02

Very funny.

0:18:020:18:04

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

0:18:040:18:06

David!

0:18:060:18:08

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

0:18:090:18:12

So...what do you think?

0:18:120:18:15

Well, if she said yes to you once,

0:18:150:18:18

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

0:18:180:18:20

David?

0:18:200:18:22

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

0:18:220:18:25

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

0:18:250:18:28

Hello. Hey.

0:18:280:18:30

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

0:18:300:18:34

Don't tell my pastor.

0:18:340:18:36

Keith, I've checked your results

0:18:360:18:39

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

0:18:390:18:42

but there is fluid build-up on your lungs,

0:18:420:18:44

which is causing the shortness of breath,

0:18:440:18:46

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

0:18:460:18:48

-What good will that do?

-Hopefully, it will flush the fluid away,

0:18:480:18:51

but we do need to find out the underlying cause,

0:18:510:18:53

so, can you sit forward for me?

0:18:530:18:55

What do you think you're doing?!

0:18:550:18:57

-I just need to listen to your chest.

-Get your hands off!

0:18:570:19:00

-Hush now. What is the fuss about?

-Relax, it's fine.

0:19:000:19:02

ETHAN SIGHS

0:19:130:19:15

You might have called it right.

0:19:180:19:20

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

0:19:200:19:23

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

0:19:230:19:27

in case we get charged for it?

0:19:270:19:29

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

0:19:290:19:32

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

-OK.

0:19:320:19:36

-Who are they?

-Er...the hospital finance managers.

0:19:380:19:42

Were you expecting them?

0:19:420:19:44

-KNOCK AT DOOR

-Sorry, Dr Hardy.

0:19:450:19:48

Some people from upstairs.

0:19:480:19:49

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

0:19:490:19:52

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

-Sure.

0:19:520:19:56

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

0:19:580:20:00

to keep the cannula patent,

0:20:000:20:02

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

0:20:020:20:04

You'll be fine. I know you will.

0:20:040:20:08

How long before this stuff kicks in?

0:20:110:20:13

We should see some improvement fairly quickly.

0:20:130:20:15

Then I can get back home?

0:20:150:20:17

One step at a time.

0:20:170:20:19

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

0:20:210:20:23

-Don't just sit there, read!

-I'm resting.

0:20:250:20:28

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

0:20:280:20:31

-Unless you want to pray?

-No, I do not!

0:20:310:20:34

Maybe you want to think on your sins.

0:20:340:20:36

My sins are none of your business!

0:20:360:20:39

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

0:20:390:20:43

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

0:20:430:20:47

-I didn't know...

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

0:20:470:20:49

I guess I should be going now.

0:20:510:20:53

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

0:20:540:20:57

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

0:20:590:21:02

even if it is the last thing I do.

0:21:020:21:04

-Hey.

-Hey.

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

0:21:070:21:10

-A really tall kid.

-Er...no.

0:21:100:21:13

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

0:21:140:21:17

Hey, babe, want to get hitched?

0:21:220:21:24

What's this?

0:21:240:21:26

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

0:21:270:21:30

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

0:21:310:21:34

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

0:21:350:21:38

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

0:21:380:21:41

-Hm?

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

0:21:410:21:44

After everything we talked about!

0:21:440:21:46

Me and Charlotte are a proper family.

0:21:460:21:48

You don't get to decide on that.

0:21:480:21:50

OK, thanks.

0:21:540:21:56

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

0:21:580:22:00

-Where's Elliot?

-He's getting his hand sorted.

0:22:040:22:06

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

0:22:070:22:09

You are so harsh on him.

0:22:090:22:11

I think we have to face it.

0:22:140:22:15

Maybe we've done all we can for him.

0:22:170:22:19

We're not talking about this again.

0:22:190:22:20

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

0:22:200:22:23

especially given his background.

0:22:230:22:25

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

0:22:250:22:29

-It's more than that.

-I said I won't talk about this.

0:22:300:22:33

Somebody has to.

0:22:330:22:35

He's part of our family.

0:22:360:22:38

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

0:22:400:22:42

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

0:22:450:22:48

SHE SIGHS

0:22:500:22:52

You are going to need that drink later on.

0:22:550:22:57

-Yes, definitely.

-What did they want?

0:22:580:23:00

They're here to review the staffing costs.

0:23:020:23:04

We've overspent on locums recently.

0:23:040:23:06

It's routine. It's under control.

0:23:080:23:10

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

0:23:160:23:20

and out of the holy city,

0:23:200:23:21

and from the things that are written in this book.

0:23:210:23:24

Finish.

0:23:260:23:27

About time I let you be.

0:23:270:23:29

-WEAKLY:

-If that's what you want, go.

0:23:310:23:34

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

0:23:350:23:38

I've got a few busy weeks ahead.

0:23:380:23:40

Choir practice, the job.

0:23:400:23:43

And Nanna will be needing my help.

0:23:430:23:45

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

0:23:450:23:50

You ever wonder why?

0:23:510:23:52

I made some mistakes, I know I did.

0:23:520:23:55

Jenna, please, don't go!

0:23:570:24:00

-I'm Hanna.

-Sorry. Hanna, I meant Hanna.

0:24:000:24:04

Stay!

0:24:060:24:07

I can't.

0:24:090:24:11

HE GASPS FOR BREATH

0:24:110:24:13

RAPID BEEPING

0:24:130:24:15

-KEITH WHEEZES

-Keith?

-I can't breathe!

0:24:150:24:18

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

0:24:180:24:21

Could you get Dr Gardner for me right away?

0:24:210:24:23

Come on, Keith, sit up.

0:24:230:24:24

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

0:24:240:24:27

DISTANT SIREN WAILS

0:24:270:24:28

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

0:24:300:24:33

Just leave me alone, yeah?

0:24:330:24:35

Rebecca's in there in pieces, worrying!

0:24:390:24:42

Look, I'm not stupid, all right?

0:24:420:24:45

I know what your game is.

0:24:450:24:47

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

0:24:470:24:50

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

0:24:500:24:51

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

0:24:510:24:54

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

0:24:550:24:58

No. You thought she'd take me back.

0:24:580:25:00

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

0:25:000:25:02

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

0:25:020:25:06

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

0:25:060:25:08

Look what you did to Rebecca!

0:25:080:25:09

-I wouldn't do anything to hurt her!

-You hurt her every day!

0:25:090:25:13

Every time you go wild, come in late,

0:25:130:25:16

answer back, come home drunk!

0:25:160:25:19

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

0:25:190:25:22

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

0:25:220:25:26

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

0:25:280:25:30

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

-Of course I do.

0:25:330:25:36

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

0:25:400:25:42

We need to get that plaster on your arm.

0:25:420:25:44

-Is everything OK?

-Yeah.

0:25:460:25:48

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

0:25:490:25:51

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

0:25:530:25:55

Let's give him another 500 micrograms of atropine.

0:26:010:26:04

He's in danger of arrest.

0:26:040:26:05

-Is that Keith Jeffries?

-Mm-hm.

-St James have sent his notes over.

0:26:050:26:09

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

0:26:090:26:13

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

0:26:130:26:16

-SHE SIGHS

-Thanks, Duffy.

0:26:190:26:22

Right, then, I will check with his GP

0:26:240:26:26

and let his family members know what's happening.

0:26:260:26:29

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

0:26:290:26:33

David, did he give any next of kin?

0:26:350:26:37

No. His wife has died

0:26:370:26:39

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

0:26:390:26:44

I'll task Hanna, maybe she knows.

0:26:440:26:47

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

0:26:500:26:53

-That was quick.

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

0:26:530:26:56

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

0:26:560:26:59

That will explain the allergic reaction.

0:26:590:27:01

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

0:27:010:27:04

It should be here in no time.

0:27:040:27:05

No, don't. Just let Keller know.

0:27:050:27:07

Because if we can get her up to theatre soon,

0:27:070:27:09

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

0:27:090:27:11

-What?

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

0:27:110:27:14

But what if she crashes, or her BP falls?

0:27:140:27:17

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

0:27:170:27:21

-You're the boss.

-Yes, I am,

0:27:220:27:24

so, why does everyone keep questioning my decisions?

0:27:240:27:27

Problems?

0:27:340:27:35

I just saw the bods from upstairs.

0:27:350:27:38

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

0:27:380:27:41

He's under so much pressure.

0:27:420:27:43

Hi, is that the transfusion lab?

0:27:520:27:54

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

0:27:560:27:58

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

0:27:590:28:03

STEADY BEEPING

0:28:060:28:08

Yes.

0:28:200:28:22

Yes. Thank you, Doctor.

0:28:220:28:25

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

0:28:250:28:26

Yeah. OK, bye. Thanks.

0:28:280:28:31

I'm going to make a move now.

0:28:430:28:45

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

0:28:450:28:47

How well do you know him?

0:28:470:28:49

Been going twice a week since January.

0:28:500:28:53

-Wow! That's dedication.

-Hm!

0:28:530:28:57

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

0:28:570:29:02

Hanna, Keith is very ill.

0:29:040:29:05

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

0:29:070:29:11

so I urgently need to find his family members.

0:29:110:29:14

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

0:29:140:29:17

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

0:29:170:29:20

Big bust-up.

0:29:200:29:22

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

0:29:240:29:28

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

0:29:280:29:31

I can't lose this job.

0:29:310:29:33

He wouldn't want me in there, anyway.

0:29:350:29:37

But you're friends.

0:29:370:29:38

You saw what I saw.

0:29:400:29:42

If you can look past that...

0:29:450:29:47

..you're a better person than me.

0:29:490:29:51

I wouldn't worry about it too much.

0:30:010:30:03

People fall out with their parents all the time.

0:30:030:30:05

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

0:30:050:30:08

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

0:30:100:30:13

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

0:30:130:30:17

What's so wrong with me?

0:30:170:30:19

Ah, Dr Hardy.

0:30:290:30:30

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

0:30:300:30:33

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

0:30:330:30:35

Well, it says it's for the ED

0:30:350:30:37

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

0:30:370:30:39

LABOURED BREATHING

0:30:430:30:46

Keith?

0:30:510:30:52

Are you comfortable?

0:30:540:30:55

You went into heart block.

0:30:570:30:58

So we inserted a pacing wire.

0:31:000:31:02

It should help.

0:31:040:31:05

-WEAKLY:

-Only good for scrap.

0:31:050:31:07

We need to talk about your DNAR.

0:31:120:31:14

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

0:31:160:31:19

I'm OK with it.

0:31:200:31:22

Had a lot of time to think about it.

0:31:240:31:27

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

0:31:330:31:35

..she hasn't called back just yet.

0:31:360:31:38

And Hanna, where is she?

0:31:420:31:45

She had to go to work.

0:31:490:31:51

Can't blame her.

0:31:530:31:54

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

0:32:000:32:03

You know what I'm talking about.

0:32:050:32:07

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

0:32:100:32:12

They all left me.

0:32:160:32:18

SHE BREATHES DEEPLY

0:32:270:32:29

Let's have a look at that hand.

0:32:450:32:47

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

0:32:490:32:53

What's up?

0:32:540:32:55

Look, I'm going to call my caseworker.

0:32:570:32:59

Why? What are you talking about?

0:32:590:33:02

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

0:33:020:33:06

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

0:33:060:33:09

I just need to get away from you all.

0:33:090:33:10

Did you put him up to this?

0:33:100:33:12

All the fighting, all the arguing.

0:33:120:33:14

It's not good.

0:33:160:33:18

Elliot, we're a family.

0:33:180:33:20

-Just hear him out.

-He's not going anywhere!

0:33:200:33:22

You're my Elliot.

0:33:240:33:26

You're my son.

0:33:260:33:28

No.

0:33:300:33:31

I'm none of those things.

0:33:310:33:33

And you saying that just makes it worse.

0:33:330:33:35

Elliot!

0:33:410:33:43

I specifically asked you NOT to order that blood.

0:33:440:33:47

I know, but we have a patient with rare antibodies

0:33:470:33:49

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

0:33:490:33:52

It's going to cost this department thousands!

0:33:520:33:54

-Who cares?

-I do!

0:33:540:33:56

Alicia, that is my job.

0:33:570:33:58

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

0:33:580:34:01

I have management looking over my shoulder 24/7.

0:34:010:34:04

They're trying to close CDU down.

0:34:050:34:07

Ethan, we're all trying to help you.

0:34:070:34:09

I have to make this budget work, OK?

0:34:110:34:13

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

0:34:130:34:16

I'm not a failure.

0:34:190:34:21

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

0:34:210:34:23

but I'm not going to fail at this.

0:34:230:34:25

Nobody thinks that.

0:34:250:34:28

OK? Well, at least nobody that matters.

0:34:290:34:32

You're amazing at what you do.

0:34:320:34:34

KNOCK AT DOOR

0:34:340:34:37

It's Rebecca McGeogh.

0:34:370:34:39

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

0:34:390:34:42

MACHINE BEEPS

0:34:470:34:49

Can I get the fast scanner, please?

0:34:490:34:50

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

0:34:500:34:53

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

0:34:530:34:55

but obviously, things can change.

0:34:550:34:57

-I'm really light-headed.

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

0:34:570:35:00

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

0:35:000:35:04

Yeah, the splenic bleed's got worse,

0:35:040:35:06

which I suspect is causing the PV bleed.

0:35:060:35:08

-Is it the baby?

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

0:35:080:35:11

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

0:35:110:35:14

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

0:35:140:35:16

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

0:35:220:35:25

Er...are you OK with this?

0:35:310:35:33

-Yeah, of course.

-Thank you.

0:35:330:35:35

Oh!

0:35:400:35:42

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

0:35:420:35:45

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

0:35:450:35:47

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

0:35:470:35:49

Yeah.

0:35:510:35:52

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

0:35:550:35:57

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

0:35:570:36:00

-WEAKLY:

-Jenna, read to me.

0:36:040:36:07

You mean Hanna, Keith.

0:36:080:36:10

Ah.

0:36:100:36:12

Remember, she went to work?

0:36:120:36:15

-WEAKLY:

-Oh, yeah.

0:36:150:36:17

It's OK.

0:36:170:36:19

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

0:36:190:36:21

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

0:36:250:36:27

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

0:36:270:36:30

Yeah, but...nobody should be alone.

0:36:320:36:35

Not at the end.

0:36:350:36:37

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

0:36:440:36:48

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

0:36:480:36:51

HE EXHALES

0:36:530:36:54

Thank you.

0:36:540:36:56

Thank you for everything.

0:36:590:37:01

Oh, things can't go on like this.

0:37:050:37:07

I'm juggling budgets and patients and...

0:37:090:37:11

..just waiting for the next disaster to unfold.

0:37:130:37:16

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

0:37:160:37:20

Tomorrow's going to be no different.

0:37:220:37:24

The situation is a lot worse than I thought.

0:37:260:37:29

And all my ideas to save money...

0:37:290:37:31

It's not enough.

0:37:320:37:34

Mrs Beauchamp said I couldn't handle this.

0:37:380:37:40

Well, then, prove her wrong.

0:37:400:37:41

Do what you need to do, Ethan.

0:37:430:37:45

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

0:37:460:37:49

OK?

0:37:510:37:52

Anyway, I'd better get back.

0:37:560:37:58

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

0:38:080:38:10

Could I speak to Serena Campbell, please?

0:38:100:38:13

ELEVATOR BLEEPS

0:38:130:38:15

ELEVATOR: Doors closing.

0:38:150:38:17

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

0:38:180:38:22

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

0:38:220:38:25

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

0:38:250:38:26

I'm running out of time every day.

0:38:260:38:28

Stop doing that.

0:38:280:38:30

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

0:38:300:38:32

-A bit harsh, isn't it?

-But it's true.

0:38:340:38:36

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

0:38:370:38:40

And there were days...

0:38:400:38:41

You repeat this and I will never forgive you.

0:38:430:38:45

There were days when I couldn't cope.

0:38:460:38:48

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

0:38:480:38:51

I would have gladly given her away.

0:38:510:38:54

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

0:38:540:38:59

Why have you never told me that?

0:39:020:39:03

Me and Charlotte coped before you showed back up.

0:39:060:39:08

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

0:39:090:39:12

Then let me join your family.

0:39:140:39:15

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

0:39:170:39:20

And if that means becoming a Miller...

0:39:210:39:23

..then that's what I want.

0:39:260:39:27

ELEVATOR: Doors opening.

0:39:270:39:29

Lift going down.

0:39:290:39:31

FOETAL HEARTBEAT

0:39:310:39:33

The registrar's on her way down.

0:39:350:39:36

She'll want to see you straightaway, OK?

0:39:360:39:38

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

0:39:480:39:51

He doesn't know what he wants.

0:39:510:39:53

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

0:39:530:39:56

It'll be different this time.

0:39:560:39:58

Why? You're not going to change.

0:39:580:40:00

This baby's ours.

0:40:000:40:02

Elliot's nothing to do with us.

0:40:020:40:04

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

0:40:050:40:08

has treated him as if he's disposable.

0:40:080:40:10

I won't do that!

0:40:100:40:12

We should be adopting him, not abandoning him!

0:40:120:40:14

You can't fix damaged goods!

0:40:140:40:16

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

0:40:180:40:20

That's why I didn't tell you.

0:40:200:40:21

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

0:40:210:40:24

I'm trying to protect us.

0:40:240:40:25

Elliot's the one who needs protection!

0:40:250:40:27

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

0:40:290:40:32

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

0:40:320:40:35

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

0:40:350:40:38

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

0:40:380:40:42

No, not you. You need to stay away.

0:40:490:40:52

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

0:40:530:40:57

And God saw the light, that it was good.

0:40:570:41:01

HE STRUGGLES FOR BREATH

0:41:010:41:02

I'm here.

0:41:040:41:06

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

0:41:090:41:12

She's gone up to the ward.

0:41:410:41:43

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

0:41:430:41:46

I'm waiting for my caseworker.

0:41:460:41:48

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

0:41:480:41:49

Rebecca's right.

0:41:510:41:53

You can't leave us.

0:41:530:41:54

I'm not sure my head's right.

0:41:560:41:58

It's about as right as mine,

0:42:020:42:04

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

0:42:040:42:07

Like a normal family, eh?

0:42:090:42:10

-You think?

-I don't know, Elliot.

0:42:120:42:14

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

0:42:150:42:17

But we'll get help...

0:42:180:42:20

..and you'll stay, yeah?

0:42:220:42:23

WHISPERS: Yeah.

0:42:260:42:28

DISTANT SIREN WAILS

0:42:280:42:29

Never had you down as a Glenn Miller fan.

0:42:320:42:34

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

-Mm-hm.

0:42:340:42:37

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

0:42:370:42:40

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

0:42:400:42:43

All right, stop rubbing it in.

0:42:430:42:44

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

0:42:440:42:46

That looks serious.

0:42:470:42:49

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

0:42:500:42:53

but I've decided to end my CDU initiative.

0:42:530:42:56

Unfortunately, as you can see...

0:42:560:42:58

-What?!

-You're cancelling leave?

0:42:580:43:00

We've overspent with agency and locum staff

0:43:000:43:03

and I've had to make some savings.

0:43:030:43:05

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

0:43:050:43:08

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

0:43:080:43:11

OK.

0:43:120:43:14

Ethan?

0:43:140:43:15

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

0:43:150:43:19

I'm sorry about your plans.

0:43:190:43:21

Yeah, it's a nightmare.

0:43:210:43:23

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

0:43:230:43:26

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

0:43:260:43:29

Yeah, but...

0:43:290:43:31

-Talk to me. Come on.

-No.

0:43:330:43:35

I'm your boss, OK?

0:43:370:43:39

So whatever happens outside, it stays outside.

0:43:390:43:42

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

0:43:420:43:45

This isn't you talking.

0:43:450:43:46

It is now.

0:43:460:43:49

It has to be.

0:43:490:43:50

SHE SIGHS

0:43:580:44:00

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

-Sure.

0:44:050:44:08

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

0:44:140:44:17

-I should have done it months ago!

-Hanna...

0:44:170:44:19

-Was he...?

-It was peaceful.

0:44:330:44:35

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

0:44:370:44:40

You still going to the party?

0:44:560:44:58

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

0:44:580:45:00

I'll have to just leave Sunday evening.

0:45:000:45:02

Yeah, well, make Ethan pay for it.

0:45:020:45:04

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

0:45:040:45:07

There's something going on with those two.

0:45:070:45:09

Yeah, I'll be over later.

0:45:090:45:11

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

0:45:110:45:15

So would I.

0:45:170:45:18

SHE SIGHS

0:45:280:45:30

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