0:00:02 > 0:00:05- What if she remembers?- We'll cross that bridge when we get to it.
0:00:05 > 0:00:06It's over. I'm going to hand myself in.
0:00:06 > 0:00:09- You're new, right?- Gem.- Rash.
0:00:09 > 0:00:12Who do I have to sleep with to get into Resus?
0:00:12 > 0:00:15I wouldn't know, I'm doing all I can to stay out of there.
0:00:15 > 0:00:19Can we let this voicemail serve as my official resignation
0:00:19 > 0:00:22from the post of acting clinical lead of the ED?
0:00:22 > 0:00:24I've been under a little bit of stress.
0:00:24 > 0:00:26I think I could do with taking a few weeks off.
0:00:26 > 0:00:29I've let you down today, I've let everybody down.
0:00:32 > 0:00:35It rather defeats the point of being here, doesn't it?
0:00:37 > 0:00:39I mean, OK, let's say for example that you...
0:00:41 > 0:00:44You're a doctor working in a hospital and... I don't know...
0:00:44 > 0:00:47a helicopter crashes into the side of the building.
0:00:47 > 0:00:49There's chaos, carnage everywhere,
0:00:49 > 0:00:53and you're in the middle of it, trying to do what you can to help.
0:00:53 > 0:00:56No-one's going to stop and ask you, "Who are you, why are you here?"
0:00:56 > 0:00:59It's damned obvious who you are and why you're there.
0:01:04 > 0:01:07Of course. You don't have to say anything until you're ready.
0:01:48 > 0:01:50My name's Joseph and I'm an alcoholic.
0:01:50 > 0:01:52- ALL:- Hi, Joseph.
0:01:52 > 0:01:55This is my 24th day without a drink.
0:01:56 > 0:01:58I'm still a newbie.
0:01:59 > 0:02:02It's better than me. I'm still on day one.
0:02:07 > 0:02:08Hi.
0:02:09 > 0:02:12I'm Ciara and I'm an alcoholic.
0:02:12 > 0:02:14- ALL:- Hi, Ciara.
0:02:14 > 0:02:1624 hours sober now.
0:02:16 > 0:02:19Though I think I'm just genetically blessed and able to drink
0:02:19 > 0:02:22loads of decent Chablis without it really troubling me.
0:02:22 > 0:02:23Well done.
0:02:23 > 0:02:27You've earned yourself one of these - a sobriety coin.
0:02:27 > 0:02:31It represents the AA's commitment to you, not your commitment to us.
0:02:34 > 0:02:36Do they work in vending machines?
0:02:45 > 0:02:48Hello. You look interesting.
0:02:49 > 0:02:51I'm really not.
0:02:51 > 0:02:53What's your name?
0:02:53 > 0:02:55What is it about Alcoholics Anonymous,
0:02:55 > 0:02:57everybody seems to want to know your name?
0:02:57 > 0:03:00Fine. Dark and mysterious. I like that.
0:03:00 > 0:03:02- I can work with that. - Yeah, I don't think so.
0:03:04 > 0:03:07So what are you doing for the next 12 hours or so?
0:03:10 > 0:03:14Right, yeah, I'm going home. Going home on my own, all right?
0:03:14 > 0:03:15Night.
0:03:17 > 0:03:19- Joseph, wasn't it?- Yeah.
0:03:27 > 0:03:29Come on, you only live once.
0:03:31 > 0:03:33Men.
0:03:40 > 0:03:43Dispatch, I'm clear at the Reshton building. Where to next?
0:03:43 > 0:03:47Four-five, pick up at Shelby Estate Agents, 24 Mountview Drive.
0:03:47 > 0:03:50On it. Just making my way through town...
0:03:50 > 0:03:52TYRES SCREECH
0:03:56 > 0:04:00Jacob, the patient in cubicle two. Is she for real?
0:04:00 > 0:04:01I'm afraid so.
0:04:01 > 0:04:05She was an audience member brought on stage and put under by a hypnotist last night.
0:04:05 > 0:04:09Then he managed to fall off the stage and concuss himself before he could bring her round.
0:04:09 > 0:04:13- Right, where's the hypnotist? - He's gone to St James.
0:04:13 > 0:04:16- Can we just transfer her there? - He's still in ICU, I'm afraid.
0:04:16 > 0:04:19We'll just have to keep her cooped up here!
0:04:19 > 0:04:20- Oh!- What?
0:04:20 > 0:04:22I've seen this before.
0:04:22 > 0:04:25It's not possible that she's really still under hypnosis.
0:04:25 > 0:04:28She just thinks she is, she's seeking attention.
0:04:28 > 0:04:31What we have to do is get a doctor to say that within her earshot,
0:04:31 > 0:04:33give her a few minutes and she'll snap out of it.
0:04:33 > 0:04:36- Right, well, can I leave that with you?- Sure.
0:04:36 > 0:04:39OK. Erm, Acute porphyria, awaiting diagnostic test results.
0:04:39 > 0:04:43- I bagsy that patient.- Erm... No. Dr Monroe, can you take him?
0:04:44 > 0:04:47Dr Kinsella, there's a skateboarding injury.
0:04:47 > 0:04:49Distal radius and ulnar fracture.
0:04:49 > 0:04:51Thank you.
0:04:53 > 0:04:55Dr Keogh. Welcome back.
0:04:55 > 0:04:56Is everything all right?
0:04:58 > 0:05:00- Yes, all good, thanks.- Good.
0:05:02 > 0:05:04Well, if you need anything, I'll be...
0:05:04 > 0:05:06- Right.- Right.
0:05:09 > 0:05:10Right you are.
0:05:17 > 0:05:19What is it, Dr Kinsella?
0:05:21 > 0:05:23I just wanted to ask if I could have
0:05:23 > 0:05:27some more interesting patients sometimes, please.
0:05:27 > 0:05:30OK, I'm up to here in minors and sprains and suturing.
0:05:30 > 0:05:33We have to take the patients as they come.
0:05:34 > 0:05:36That's the only way it can work.
0:05:36 > 0:05:39I became an ED doctor because I can be interested in the first hour
0:05:39 > 0:05:41of just about anything.
0:05:41 > 0:05:43But I mean, that porphyria case -
0:05:43 > 0:05:47how many times in my career am I going to get another chance at that?
0:05:47 > 0:05:50I'm just trying to learn, is all I'm saying.
0:05:52 > 0:05:54How long have you been with us now?
0:05:54 > 0:05:56Four weeks.
0:05:56 > 0:05:58I started on the 3rd of February.
0:06:00 > 0:06:03- Are you enjoying it?- Yes, of course.
0:06:03 > 0:06:05The NHS can be a frustrating place to work.
0:06:05 > 0:06:09You only have to look at this Rage and Resus blog to see that.
0:06:09 > 0:06:11There's a junior doctor out there somewhere
0:06:11 > 0:06:13very unhappy with their lot.
0:06:13 > 0:06:15I haven't seen it.
0:06:17 > 0:06:18OK.
0:06:20 > 0:06:22I understand your frustrations.
0:06:22 > 0:06:24And actually, my job is exactly like yours
0:06:24 > 0:06:26when it comes to resus and cubicles.
0:06:26 > 0:06:29We examine the patients, we treat them,
0:06:29 > 0:06:32we discharge them or we refer them for specialist care.
0:06:34 > 0:06:36We're starting to fill up,
0:06:36 > 0:06:39so I would appreciate it if you could get back out there, please.
0:06:39 > 0:06:41Yes, Dr Hardy.
0:06:43 > 0:06:45Examine, treat, discharge.
0:06:46 > 0:06:49Right, police will be over in a second to take a statement.
0:06:49 > 0:06:52Hello, mate. We're the paramedics.
0:06:52 > 0:06:55We're just going to try and get you on to your back, all right?
0:06:55 > 0:06:56One, two, three.
0:06:58 > 0:07:01There we go. I know. We just have to get this helmet off.
0:07:04 > 0:07:07All right, mate. I know it's uncomfortable.
0:07:07 > 0:07:10- There you go. My name's Iain. what's your name?- Amber.
0:07:10 > 0:07:13- Oh, sorry, love.- It's not the 1970s. Mate's just fine.
0:07:14 > 0:07:17- Can you tell me where it hurts, Amber?- Everywhere.
0:07:17 > 0:07:19My back, my leg.
0:07:19 > 0:07:23Hiya, lads. Can one of you support this neck for me?
0:07:23 > 0:07:25We'll need to get a pelvic splint on as well, Sam.
0:07:25 > 0:07:29Got it? Right, Amber. I'm going to get you some pain relief as soon as I can.
0:07:29 > 0:07:32- Do you have any allergies?- No. - Tell me if this hurts.
0:07:32 > 0:07:33Ah!
0:07:35 > 0:07:37Take nice, deep breaths into that.
0:07:37 > 0:07:39Looks like an open fracture femur.
0:07:39 > 0:07:41Can we check her pedal pulse?
0:07:43 > 0:07:46Amber, I'm just going to take this boot off, all right?
0:07:46 > 0:07:48You're doing really well, Amber.
0:07:51 > 0:07:54I've got a pedal pulse, but it's weak.
0:07:54 > 0:07:57We're going to need to manipulate the leg or she could lose her foot.
0:07:57 > 0:07:59- Straight away? - Yeah, let's do it now.
0:07:59 > 0:08:01I'll set up the TXA and co-amoxiclav afterwards.
0:08:01 > 0:08:04OK, Amber. I'm not going to lie, this is going to hurt.
0:08:04 > 0:08:07But you'll feel much better in a few moments.
0:08:08 > 0:08:11On three. One, two, three.
0:08:11 > 0:08:13SHE SCREAMS
0:08:57 > 0:09:00Are you awake? I need coffee.
0:09:00 > 0:09:03Do you want coffee? We can get them to send some up.
0:09:04 > 0:09:06How many did we have anyway?
0:09:08 > 0:09:10Did you sleep well?
0:09:10 > 0:09:12I slept like a log.
0:09:12 > 0:09:14That would have been the red wine, then.
0:09:14 > 0:09:16Could be doing with a few hours, mind you.
0:09:18 > 0:09:20Look at me. Covered in bruises, you brute.
0:09:22 > 0:09:25Don't worry. Not your fault. I tend to bruise awful easy these days.
0:09:27 > 0:09:29Now, where is my other shoe?
0:09:29 > 0:09:32Don't tell me I left it in the bar.
0:09:37 > 0:09:39I'm afraid you'll be in plaster for around six weeks
0:09:39 > 0:09:42once orthopaedics fixes the bones in theatre.
0:09:42 > 0:09:44I'll get one of the nurses to see to you.
0:09:45 > 0:09:49- So bored. Just a broken bone. - I don't mind that, as long as they're not open fractures.
0:09:49 > 0:09:52So, I installed that dating app like you said.
0:09:52 > 0:09:54- I've had three likes so far. - Let's see.
0:09:54 > 0:09:57- Cat pictures. Bin her. - Yeah, but she's cute.
0:09:57 > 0:09:58Too pouty. Delete.
0:10:00 > 0:10:04- I would.- You think? - Yeah, she looks...- Hot.
0:10:04 > 0:10:05Intelligent. Message her.
0:10:05 > 0:10:08- That's going to cost me £8. - Do it.
0:10:08 > 0:10:11- OK, what am I supposed to say to her?- Start with hello.
0:10:11 > 0:10:14And make sure to get in that you're a doctor. Anything good?
0:10:14 > 0:10:18Poor Mr Hyatt here slipped while using a hedge-trimmer and managed to cut into his thigh.
0:10:18 > 0:10:20Blood and gore, I like it. Cubicle three.
0:10:20 > 0:10:23Hello, Mr Hyatt. I'm Dr Kinsella and I'm just the woman for you.
0:10:25 > 0:10:27VOMITING
0:10:31 > 0:10:33You don't say much, do you?
0:10:33 > 0:10:35Though, I know I talk a lot.
0:10:35 > 0:10:39I basically only have an on and an off switch from the moment I open my eyes to the moment I fall asleep.
0:10:39 > 0:10:41There's no in-between.
0:10:43 > 0:10:45Shall we swap numbers?
0:10:47 > 0:10:49Are you all right?
0:10:51 > 0:10:53Joseph? What's happening?
0:10:55 > 0:10:56Oh, my God!
0:10:58 > 0:11:00No, I can't. You understand?
0:11:00 > 0:11:02I can't... Erm...
0:11:02 > 0:11:05The ambulance, the police... You're married...
0:11:19 > 0:11:21Right. This is Amber Wilson, 27 years old.
0:11:21 > 0:11:26Involved in a high speed collision, motorbike versus van, approximately 50 minutes ago.
0:11:26 > 0:11:30She's got an open fracture to her right femur which has had traction and is now in a splint.
0:11:30 > 0:11:33We manipulated it at the scene with no circulatory compromise.
0:11:33 > 0:11:36Helmet removed at scene, and haemodynamically stable throughout.
0:11:36 > 0:11:38Cross on lift, please. Ready, steady, lift.
0:11:39 > 0:11:41Right, she wasn't KO'd. GCS 15.
0:11:41 > 0:11:45Complaining of thoracic, back and pelvic pain.
0:11:45 > 0:11:48She's been fully immobilised, pelvic binder in situ.
0:11:48 > 0:11:52Meds wise, she's had 15mg of morphine, one gram of TXA,
0:11:52 > 0:11:551.2 grams of co-amoxiclav, one gram of paracetamol
0:11:55 > 0:11:57and four milligrams of Ondansetron.
0:11:57 > 0:12:00There's no known medical history, allergies or regular meds.
0:12:00 > 0:12:02Biker chick. Love it.
0:12:02 > 0:12:04Good luck, Amber.
0:12:05 > 0:12:08- Hi, Amber. I'm Dr Kinsella. - Is my bike OK?
0:12:08 > 0:12:11Let's check on your bodywork first, then we'll see about your wheels.
0:12:11 > 0:12:14Airway clearly fine.
0:12:15 > 0:12:18Can I get a pregnancy test plus a full trauma CT
0:12:18 > 0:12:19and an X-ray of the right femur?
0:12:19 > 0:12:21You like bikes, huh?
0:12:21 > 0:12:24I compete. County level. Looking good for national.
0:12:24 > 0:12:26- I'm impressed.- It's just a bump.
0:12:26 > 0:12:29- I've had spills before. - Let us be the judge of that.
0:12:29 > 0:12:31And can I get bloods for crossmatch,
0:12:31 > 0:12:33FBCs, U&Es and a venous blood gas?
0:12:33 > 0:12:36Let's clean and dress the wounds and check tetanus status.
0:12:39 > 0:12:41That's about it, isn't it, Dr Hardy?
0:12:41 > 0:12:44I'd recommend orthopaedics come and have a look as well.
0:12:45 > 0:12:47Right. Yes.
0:12:50 > 0:12:51Orthopaedics, please.
0:12:51 > 0:12:55Your distal radial and ulna fracture is ready for you in cubicles.
0:12:55 > 0:12:57- I just need you to finish your notes.- Erm... Yes.
0:12:57 > 0:13:00I've sutured Duffy's patient. He's ready for discharge.
0:13:00 > 0:13:03- Oh, great.- I need the cubicle back. - Yeah, yeah, just, erm...
0:13:03 > 0:13:06Dr Kinsella, let somebody else do that.
0:13:06 > 0:13:08Prioritise.
0:13:10 > 0:13:12And breathe.
0:13:14 > 0:13:18Ah, Dr Keogh. Welcome back! Nice holiday?
0:13:19 > 0:13:21It's like I've never been away.
0:13:23 > 0:13:24Watch out, watch out, watch out.
0:13:24 > 0:13:27Hello. Try not to run any more doctors over!
0:13:27 > 0:13:29Nice to see you again, too.
0:13:30 > 0:13:34- She ran a doctor over?- Yes. - She did.- What? With a trolley?
0:13:34 > 0:13:37- No. With a car. - Of all the accidents...
0:13:37 > 0:13:39Yeah, it's one of many, I'm afraid.
0:13:39 > 0:13:41Poor girl's been in and out of remand all her life.
0:13:42 > 0:13:44Did not know that.
0:13:44 > 0:13:48Right. We're referring your son to orthopaedics for further care.
0:13:48 > 0:13:51He will have a pretty cool scar at the end of it to make up for it.
0:13:53 > 0:13:55One free cubicle, as requested.
0:13:55 > 0:13:56Thank you.
0:13:56 > 0:13:59- Dr Kinsella?- Yes. On it.
0:14:01 > 0:14:04- Remind me...- You were going to sign off Mr Hyatt.- Yes.
0:14:04 > 0:14:05Notes?
0:14:05 > 0:14:08I left them in Resus. Sorry, back in a minute.
0:14:10 > 0:14:11He's here, just come this way.
0:14:15 > 0:14:18- Can you tell me your partner's name? - Oh, he's not my... Erm, Joseph.
0:14:20 > 0:14:23Hi, Joseph. My name's Iain.
0:14:23 > 0:14:24Can you tell me what happened?
0:14:26 > 0:14:28Can you raise your arms for me?
0:14:30 > 0:14:34FAST positive. We'd best get the Acute Stroke Team waiting on arrival.
0:14:34 > 0:14:37- He's had a stroke? - When did he start to feel ill?
0:14:37 > 0:14:40I don't know. He was asleep when I woke up, I think.
0:14:40 > 0:14:42And then I was in the shower,
0:14:42 > 0:14:45- and then when I was getting ready to leave, he just...- OK.
0:14:47 > 0:14:50- 3006 to Control, over. - Control responding. Go ahead.
0:14:50 > 0:14:52Got a pre-alert for you.
0:14:52 > 0:14:55FAST positive male, mid-30s, we're unsure of the onset time.
0:14:55 > 0:14:59- GCS is 12, BP...- Is 210 over 110. - ..210 over 110.
0:14:59 > 0:15:02ETA 15 minutes, over.
0:15:02 > 0:15:04Joseph, mate, we think you might have had a stroke.
0:15:04 > 0:15:07So you're going to have to come into hospital.
0:15:07 > 0:15:10Stay nice and calm while I go and get a chair for you. Good man.
0:15:10 > 0:15:13Those bruises look pretty nasty. Can I take a look at them?
0:15:13 > 0:15:16It's nothing. I just bruise easily.
0:15:16 > 0:15:19Right, well, if you want to come along in the ambulance with your...
0:15:19 > 0:15:22- He's not... Yes, all right.- We need to get him to hospital fast.
0:15:22 > 0:15:25If you could come with us and answer a few questions
0:15:25 > 0:15:27about what happened to him, that would be a big help.
0:15:31 > 0:15:33Yeah, Of course.
0:15:43 > 0:15:46Dr Keogh, we have a stroke patient en route. Are you free?
0:15:46 > 0:15:48I'll make it a priority. That's for you.
0:15:48 > 0:15:51Right, I will call a stroke registrar and nurse.
0:15:51 > 0:15:54- That's mine, thanks. - I was wondering.
0:15:54 > 0:15:57- Why were you going through it? - To find out whose it was.
0:15:57 > 0:15:58You're welcome!
0:15:58 > 0:16:01Well, you've got form, haven't you?
0:16:01 > 0:16:04- What?- I had no idea you were an offender.
0:16:04 > 0:16:07You just left it by the nurses' station.
0:16:07 > 0:16:09No. I put it down at the nurses' station.
0:16:09 > 0:16:11It wasn't an invitation for you to nick it, OK?
0:16:12 > 0:16:14- Everything all right? - She had my wallet.
0:16:14 > 0:16:18No. I didn't know it was your wallet. It was a wallet, and it was just sat there.
0:16:18 > 0:16:21And you took it. You're the one who told me she ran that doctor over.
0:16:21 > 0:16:23Do you want to tell anyone else?
0:16:25 > 0:16:27Gem. Gem!
0:16:28 > 0:16:31You can understand why I'd be suspicious, right?
0:16:31 > 0:16:33I think we'd better just let it go, mate, all right?
0:16:40 > 0:16:42- Oh, no.- Are you OK? - Yeah, I'm fine.
0:16:44 > 0:16:48- Dr Keogh?- Yes. - I'm Dr Kinsella, new F1.
0:16:48 > 0:16:50Well done.
0:16:50 > 0:16:51Bea.
0:16:51 > 0:16:54Be? What do you mean, be? What does that mean?
0:16:54 > 0:16:57- Bea is my name.- Oh, right. OK.
0:16:57 > 0:16:59Excuse me. If you want to observe, you can.
0:16:59 > 0:17:01Any sign of the stroke reg or nurse?
0:17:01 > 0:17:04- They said they'd be here as soon as they can.- All right.
0:17:04 > 0:17:07- Ready?- Yes.- Joseph Moors, 35, suspected stroke.
0:17:07 > 0:17:10Unsure of exact onset time, but he woke up with symptoms.
0:17:10 > 0:17:13GCS 12, due to incomprehensible sounds,
0:17:13 > 0:17:15but he is maintaining his own airway.
0:17:15 > 0:17:18Heart rate is 70. BP is 205 over 115.
0:17:18 > 0:17:21Resps 16. SATS 100% on air.
0:17:21 > 0:17:24Pupils are unequal, even though there's no apparent head injury.
0:17:24 > 0:17:26His BM is 4.8.
0:17:26 > 0:17:28- OK, you say airway's all right, yeah?- Yeah.
0:17:29 > 0:17:32Joseph, are you able to talk?
0:17:34 > 0:17:37Right, OK. If you can hear me, can you squeeze my hands, please?
0:17:38 > 0:17:41Definite neurological impairment on the right side.
0:17:41 > 0:17:43Let's get him to CT, please. Quickly as we can.
0:17:43 > 0:17:46Every second is valuable brain tissue.
0:17:46 > 0:17:48I have a patient in CT.
0:17:48 > 0:17:50Right, OK, thanks.
0:17:50 > 0:17:51Joseph...
0:17:53 > 0:17:55..you're in Holby City Hospital.
0:17:55 > 0:17:58If you can hear me and if there's anyone you want me to call...
0:17:58 > 0:18:01Ciara, this lady here, was with him when he woke up.
0:18:02 > 0:18:04What are you doing here?
0:18:05 > 0:18:07Right. You're not related, are you?
0:18:07 > 0:18:11- No.- Can somebody show Ciara where she can wait, please?
0:18:11 > 0:18:14- What? You work here? - Yes. Just let me do my job.
0:18:14 > 0:18:18Dylan, this is the patient's wallet and she has bruises on her wrists
0:18:18 > 0:18:21and could do with strong coffee.
0:18:21 > 0:18:23Right, yeah, I'm sure she's fine.
0:18:24 > 0:18:29- No...- I tell you what, Charlie, would you mind taking Ciara somewhere she can get a coffee?
0:18:29 > 0:18:33No, no, it's all right. I'll just let you get on with looking after Joseph.
0:18:33 > 0:18:35- He's in very good hands. - I can take a look at her.
0:18:35 > 0:18:38Are you not with a patient that just went back to Resus?
0:18:38 > 0:18:42I'll tell you what, I'll have a look at you. For now, can you just go with Charlie, please?
0:18:42 > 0:18:44Your bedside manner better be worth it.
0:18:45 > 0:18:47Louise?
0:18:48 > 0:18:51He's obviously not compos mentis and she is not related,
0:18:51 > 0:18:54so can we dig out any old records that we might have for him?
0:18:55 > 0:18:58Great to have you back, Dr Keogh, but do you remember that chat
0:18:58 > 0:19:00we once had about please and thank you?
0:19:00 > 0:19:04Yes. Please never mention it again. Thank you.
0:19:05 > 0:19:08I can't believe Rash having a go in front of everyone.
0:19:08 > 0:19:10Things are going well for me here, right?
0:19:10 > 0:19:13- Yeah, yeah, yeah. - We adore you.
0:19:13 > 0:19:16I mean, how does that make me look in front of the patients?
0:19:16 > 0:19:19If somebody reported that, I could have lost my job.
0:19:19 > 0:19:21Rash needs teaching a lesson, don't he?
0:19:21 > 0:19:23What sort of lesson?
0:19:23 > 0:19:26That he needs people like us to help him do his job, for a start.
0:19:26 > 0:19:29He couldn't cope without us backing him up.
0:19:29 > 0:19:32I think it's time Dr Rashid felt the full force and fury
0:19:32 > 0:19:34of mistreated ancillary staff.
0:19:36 > 0:19:40Joseph's scans. He's on our records.
0:19:40 > 0:19:44Joseph Moors, DOB - 2nd of February 1983.
0:19:44 > 0:19:46Wow, really?
0:19:46 > 0:19:50Yeah. We have treated him before for alcohol related problems,
0:19:50 > 0:19:53including the time he wrapped his car around a lamppost.
0:19:53 > 0:19:55We're trying to contact his ex-wife.
0:19:56 > 0:19:58Right, yeah, this isn't good.
0:19:58 > 0:20:01He's had a massive haemorrhagic stroke, as we thought.
0:20:01 > 0:20:07OK. Let's contact the regional neurosurgical team for assessment,
0:20:07 > 0:20:10and can we get the neurosurgical registrar's number ASAP?
0:20:10 > 0:20:11OK.
0:20:11 > 0:20:14I've got to go and... Do you know what? No, I can't be bothered.
0:20:14 > 0:20:19- Do you know her or something? - No. Not really. No.
0:20:20 > 0:20:23I joined an AA group. She's one of those.
0:20:23 > 0:20:25- Good for you. - There's nothing good about it.
0:20:25 > 0:20:27They're dreadful people. Boring, boring, boring.
0:20:27 > 0:20:31Neurosurgical team. Now. Please, please.
0:20:31 > 0:20:33Is there anyone we can call for you, Amber?
0:20:33 > 0:20:35No.
0:20:35 > 0:20:37I only have distant family.
0:20:37 > 0:20:39I just moved here a couple of weeks ago.
0:20:39 > 0:20:41Starting a new life.
0:20:41 > 0:20:43Relationship meltdown?
0:20:43 > 0:20:46- You're sure you don't want me to contact...- No.
0:20:46 > 0:20:48I don't want him to know where I am.
0:20:48 > 0:20:51- Am I going to be OK?- I just need a second opinion on these.
0:20:52 > 0:20:54Can you move your toes for me?
0:20:56 > 0:20:57No.
0:20:59 > 0:21:02- I can't be paralysed, I just can't! - Look, we don't know that yet.
0:21:02 > 0:21:05I have no-one. I couldn't live like that.
0:21:05 > 0:21:09You're getting way ahead of yourself. We haven't finished examining you yet, OK?
0:21:11 > 0:21:13OK.
0:21:13 > 0:21:15- Let's log roll her. - There's only two of us.
0:21:15 > 0:21:18- Are her scans clear? - Yeah, I think so.
0:21:18 > 0:21:21But what I do know is that a blocked airway will kill her.
0:21:22 > 0:21:25OK, three, two, one.
0:21:27 > 0:21:29OK, suction.
0:21:30 > 0:21:32OK, good. Very good.
0:21:32 > 0:21:34- What's happened? - She was in danger of asphyxiating.
0:21:34 > 0:21:36And the scans were clear?
0:21:36 > 0:21:39I'm still waiting for orthopaedics to take a look.
0:21:39 > 0:21:42OK. That's good. Three, two, one.
0:21:43 > 0:21:46Dr Kinsella, if you're not sure,
0:21:46 > 0:21:48then it's extremely dangerous to have log rolled her.
0:21:48 > 0:21:53- She'd have choked if I didn't. - You should have hit the emergency call button and asked for help.
0:21:53 > 0:21:56- There wasn't time...- There's always time to raise the alarm.
0:21:56 > 0:21:59Even if you still had to proceed until help arrives.
0:21:59 > 0:22:02- OK. Regular obs until the orthopaedics get back to you. - Of course.
0:22:03 > 0:22:05Please try not to do everything on your own.
0:22:14 > 0:22:19Don't you look all dashing with your sleeves rolled up and a stethoscope round your neck?
0:22:19 > 0:22:22- I'd never have guessed you were a doctor.- Well, that's reassuring.
0:22:22 > 0:22:24I had you down as an accountant, actually.
0:22:24 > 0:22:26How's Joseph?
0:22:26 > 0:22:31I can't discuss his condition with you, it's patient confidentiality.
0:22:31 > 0:22:32I'm his friend.
0:22:34 > 0:22:37- How long have you known him? - I don't know...
0:22:38 > 0:22:40..about 14 hours.
0:22:40 > 0:22:44- We're trying to contact his wife at the moment.- They're separated.
0:22:44 > 0:22:47I know that, because he told me, because I'm his friend.
0:22:47 > 0:22:49Nevertheless, we need to contact her, she's his next of kin.
0:22:49 > 0:22:51Have you got a wife?
0:22:51 > 0:22:54- Oh, you do!- It's not relevant. - Current or ex?
0:22:54 > 0:22:56Right, I want to run some tests on you to determine
0:22:56 > 0:22:59what damage you might have done to yourself with alcohol.
0:22:59 > 0:23:02Don't worry, I don't have anything communicable.
0:23:02 > 0:23:05- The bruises that you came in with... - That's nothing. I bruise easily.
0:23:05 > 0:23:07They may be symptomatic of something else,
0:23:07 > 0:23:10so I'd like to take some blood run some liver function tests,
0:23:10 > 0:23:12check for cirrhosis, things like that.
0:23:12 > 0:23:15I'm in AA. You know that. I'm getting better.
0:23:15 > 0:23:18OK, yesterday was your first meeting, as I understand it.
0:23:18 > 0:23:21After which you picked up one of the other attendees
0:23:21 > 0:23:25and didn't so much encourage him off the wagon as push him underneath it,
0:23:25 > 0:23:28as a result of which you both ended up in hospital, him, seriously so.
0:23:28 > 0:23:31- So you need help, Ciara.- Oh, don't go all holier-than-thou on me.
0:23:31 > 0:23:35You know perfectly well all the most interesting people are drinkers.
0:23:36 > 0:23:39I have a full-time job, I work out three times a week,
0:23:39 > 0:23:41I don't smoke, I eat well.
0:23:41 > 0:23:43I just happen to have a personality that needs...
0:23:43 > 0:23:45..tempering.
0:23:45 > 0:23:46With alcohol.
0:23:46 > 0:23:49- You self-medicate. - I'm enjoying life!
0:23:49 > 0:23:53Pretty sure it's all going to go horribly wrong one day, so I might as well enjoy it while I can.
0:23:53 > 0:23:55- Dr Keogh.- Yeah.
0:23:55 > 0:23:59The neuro reg is on the phone for you.
0:23:59 > 0:24:00Right, OK. Stay here.
0:24:04 > 0:24:07OK, offer another 2,000, see what they say.
0:24:09 > 0:24:11All right. Let me know. Bye.
0:24:13 > 0:24:15Wish me luck.
0:24:15 > 0:24:18- Looks like you're making a major purchase.- A house. I hope.
0:24:18 > 0:24:21- Look at you, doing adulting. - I know, I don't feel like an adult.
0:24:21 > 0:24:23Not like him.
0:24:23 > 0:24:25I think he was born grown-up.
0:24:25 > 0:24:28I don't think he likes me. He makes me feel like a useless teenager.
0:24:28 > 0:24:31I know what you mean, but honestly, it's not you.
0:24:31 > 0:24:34It's the job. I think he's just finding his feet.
0:24:34 > 0:24:36You need to take a look at Amber.
0:24:42 > 0:24:45My...fingers...toes...tingling.
0:24:45 > 0:24:47Pins...and needles.
0:24:47 > 0:24:50Is...it...my...spine?
0:24:50 > 0:24:52No. It's just hyperventilation.
0:24:52 > 0:24:55- Do you want me to call Dr Hardy? - No.
0:24:55 > 0:24:57But chase up orthopaedics, OK?
0:24:57 > 0:25:00Tell them I really need an opinion on Amber's scans
0:25:00 > 0:25:03and if they speed it up, there's a pint in it for the consultant.
0:25:04 > 0:25:07Nice, big, slow, deep breaths for me.
0:25:08 > 0:25:11Hyperventilation's just a big word for a panic attack.
0:25:11 > 0:25:14It means you're exhaling more than you're inhaling.
0:25:14 > 0:25:16I don't blame you.
0:25:16 > 0:25:18If I'd crashed my bike and ended up in hospital,
0:25:18 > 0:25:21I'd be pretty wound up myself.
0:25:23 > 0:25:25That's it, very good.
0:25:27 > 0:25:30Will...I...walk...again?
0:25:32 > 0:25:34Are the pins and needles going?
0:25:35 > 0:25:37- Yes.- That's a good sign.
0:25:38 > 0:25:41Let me just chase up orthopaedics now myself.
0:25:52 > 0:25:54Dan... "Dang-ger"?
0:25:54 > 0:25:56"Dang-er"?
0:25:58 > 0:26:02Dan Danger. Let's get on with it, Doc.
0:26:02 > 0:26:04Is that your real name?
0:26:09 > 0:26:11- What's it to you?- Right.
0:26:13 > 0:26:16- Come on, son, I haven't got all day. - No, of course. This way, sir.
0:26:20 > 0:26:22Martha Moors. My husband...
0:26:22 > 0:26:25My ex-husband has been admitted. Someone called me.
0:26:25 > 0:26:27Just one sec, please.
0:26:27 > 0:26:29He's suffered a catastrophic bleed.
0:26:29 > 0:26:32The neurosurgeon says the scans show very extensive damage.
0:26:32 > 0:26:34OK, he's coning.
0:26:34 > 0:26:37Let's give him some suction and Hyoscine, I think.
0:26:37 > 0:26:39- Should we ventilate him?- Well, no.
0:26:39 > 0:26:43I mean, he's bradycardic, he's hypertensive, it's Cushing's triad.
0:26:43 > 0:26:45It's a non-reversible pathology. Are we all agreed? Yeah?
0:26:45 > 0:26:48Let's get a red form. Can we turn the monitor off?
0:26:48 > 0:26:51Don't attempt CPR. Let's just make him as comfortable as possible.
0:26:51 > 0:26:54- There's nothing more we can do for him.- No!
0:26:54 > 0:26:57- Ciara, you can't be in here. - You're just going to let him die?
0:26:57 > 0:27:00He's suffered irreparable brain damage. It's just a matter of time.
0:27:00 > 0:27:03- What about your hypocritic oath?! - Hippocratic oath.
0:27:03 > 0:27:05Hypocritic sounds good to me just now.
0:27:05 > 0:27:07- Can we turn the monitors off, please?- Help him.
0:27:07 > 0:27:10Louise, would you take Ciara back to cubicles for me, please?
0:27:10 > 0:27:13Please! Do something to help him!
0:27:18 > 0:27:21Argh! I told you what I'd do if you hurt me!
0:27:21 > 0:27:23Sir, you're the one who refused local anaesthetic.
0:27:23 > 0:27:27- I need to keep my wits about me. Have you ever had a death threat? - Only from you.
0:27:28 > 0:27:31Excuse me, cleaner, can I get a little help, please?
0:27:31 > 0:27:34- It's Dr Rashid, isn't it? - Yes. Can you stay still, sir?
0:27:34 > 0:27:37- I'm Cymon, with a C-Y.- Great. Can you mop up in here?
0:27:37 > 0:27:40- I can't, sorry.- Why not?
0:27:40 > 0:27:43You can have my bodily fluids kit, if you want.
0:27:43 > 0:27:46- I don't know how to use that. - Just read the packaging.
0:27:46 > 0:27:48Hello, darling.
0:27:49 > 0:27:51Did he just call me darling?
0:28:01 > 0:28:03Yeah, he's dead.
0:28:03 > 0:28:07- Dr Keogh?- Yeah. - Joseph's wife is here.
0:28:07 > 0:28:09She's in the relatives' room.
0:28:09 > 0:28:13OK, great. Let's clean him up. I won't be long.
0:28:20 > 0:28:22SHE CRIES
0:28:28 > 0:28:30Hello. Everything all right?
0:28:32 > 0:28:33Clearly not.
0:28:36 > 0:28:37Can I help?
0:28:37 > 0:28:39They just let him die.
0:28:40 > 0:28:43- Who what now?- That doctor, Keogh. He just...
0:28:45 > 0:28:48He just let Joseph die.
0:28:48 > 0:28:50Well, I'm sure he did everything he could.
0:28:50 > 0:28:52He was fine last night.
0:28:53 > 0:28:55We had a good time.
0:28:55 > 0:28:57Right.
0:28:57 > 0:29:00And then that drunken colleague of yours pulls the plug.
0:29:04 > 0:29:07You know he's an alcoholic, right? He shouldn't be working here.
0:29:07 > 0:29:08I...
0:29:08 > 0:29:11It's fine. I'll take it from here, thanks.
0:29:11 > 0:29:12Right. OK.
0:29:14 > 0:29:17What? So you just let him die? Is that what we do on the NHS now?
0:29:17 > 0:29:20No, it's not policy. It's just nature, isn't it?
0:29:20 > 0:29:22It's nature taking its course, I'm afraid.
0:29:22 > 0:29:24What are you going to tell his wife?
0:29:24 > 0:29:28I'm going to tell her the truth, which is that he died of a massive haemorrhagic stroke.
0:29:28 > 0:29:32What are you going to tell her about me, I mean? About last night.
0:29:32 > 0:29:34Oh, all right, I see.
0:29:34 > 0:29:37The reason you wanted him to live was so you wouldn't be cast a scarlet woman.
0:29:37 > 0:29:39Dylan?
0:29:39 > 0:29:42Yeah, Louise. Can we start Ciara's tests, please?
0:29:43 > 0:29:47Let's get an ECG, liver function and an ultrasound to check for ascites.
0:29:47 > 0:29:52- No way.- Ciara...- You think I'm going to trust him after watching him do what he just did?
0:29:52 > 0:29:55I'm amazed they let an alcoholic practise medicine.
0:29:55 > 0:29:56Yeah, I said it.
0:29:56 > 0:29:59Well, you're not laying a finger on me, Dr Death. Goodbye.
0:30:01 > 0:30:05- She needs help.- Let her go.- You of all people should understand that.
0:30:05 > 0:30:08Just let her go, just let her go. OK, some people are beyond help.
0:30:08 > 0:30:11- Dylan...- I have to go and break the news to Joseph's wife.
0:30:23 > 0:30:25May I?
0:30:31 > 0:30:33Why don't you come back inside?
0:30:34 > 0:30:36No, thank you.
0:30:36 > 0:30:38You don't have to see Dr Keogh.
0:30:38 > 0:30:40I'll find you someone else.
0:30:40 > 0:30:42I already have a support group.
0:30:42 > 0:30:44It's called everybody, and they meet in the pub.
0:30:44 > 0:30:46There they are now.
0:30:47 > 0:30:49Excuse me.
0:30:56 > 0:30:59- In a hotel room?- Yes.
0:31:01 > 0:31:03He had a bedsit across town.
0:31:03 > 0:31:06He swore to me he'd stopped drinking.
0:31:06 > 0:31:08I wouldn't let him see the kids if he'd been drinking.
0:31:08 > 0:31:11Well, he must have had a lapse.
0:31:13 > 0:31:16- But a hotel?- Yeah.
0:31:16 > 0:31:18Was he alone?
0:31:20 > 0:31:22As far as we know.
0:31:24 > 0:31:27I'm sorry for your loss.
0:31:27 > 0:31:29We lost him a long time ago.
0:31:34 > 0:31:36An X-ray of the right hand, please.
0:31:40 > 0:31:43- That patient's a complete nutjob. - Oh, yeah.
0:31:43 > 0:31:45He once bit a nurse's ear off at St James,
0:31:45 > 0:31:48so they won't let him back in there any more.
0:31:48 > 0:31:50He has to come to us.
0:31:50 > 0:31:54Reception usually dig up a security guard to accompany you when you treat him.
0:31:54 > 0:31:56- Great. Now you tell me. - Or Gem.
0:31:56 > 0:31:58Yep. He loves Gem.
0:31:58 > 0:32:01Met her last time he was here. She put him right in his place.
0:32:01 > 0:32:04He'd do anything for her now really. Anything.
0:32:05 > 0:32:07Just so you know.
0:32:21 > 0:32:22Can we talk?
0:32:24 > 0:32:25I know I can.
0:32:27 > 0:32:29Sorry, were you expecting someone?
0:32:29 > 0:32:31No.
0:32:31 > 0:32:33I just always ask for two glasses.
0:32:34 > 0:32:36Yeah, yeah, I've done that.
0:32:37 > 0:32:40So they didn't think it was all for me.
0:32:44 > 0:32:49Well, since it's here, and if you're going to lecture me,
0:32:49 > 0:32:51then you have to drink with me.
0:32:52 > 0:32:54That's the rule.
0:33:01 > 0:33:03No, thanks.
0:33:03 > 0:33:05It'll make you more interesting.
0:33:05 > 0:33:08No, it won't. It'll just make me less me.
0:33:11 > 0:33:14I don't trust people I haven't been drunk with.
0:33:28 > 0:33:30It's a bit flinty for my palate.
0:33:30 > 0:33:31I'm more of a whiskey man.
0:33:31 > 0:33:33Irish whiskey, with an E.
0:33:33 > 0:33:35Dylan Keogh, you know.
0:33:35 > 0:33:37Classy drunk. Love it.
0:33:37 > 0:33:40It's got legs though, I'll give it that.
0:33:40 > 0:33:42You see how it just trickles down the glass?
0:33:44 > 0:33:46In exactly the way that water doesn't.
0:33:47 > 0:33:51- That means it's got a high alcohol content.- Don't we all?
0:33:52 > 0:33:55I suppose one glass might actually do me some good.
0:33:56 > 0:33:58It could increase my HDL blood cholesterol
0:33:58 > 0:34:01and lower my chances of developing bad cholesterol.
0:34:01 > 0:34:04The tannins would supress blood clotting,
0:34:04 > 0:34:06reduce my risk of having a heart attack.
0:34:08 > 0:34:09Cheers.
0:34:09 > 0:34:12The trouble is, I wouldn't just have one glass, though.
0:34:12 > 0:34:15I'd have the whole bottle. Then I'd probably have another one.
0:34:17 > 0:34:19Then I wouldn't sleep very well
0:34:19 > 0:34:22because my body would be full of stimulants,
0:34:22 > 0:34:24alcohol inside every single cell of my body,
0:34:24 > 0:34:26depressing cellular activity.
0:34:26 > 0:34:29In time, I would develop high blood pressure,
0:34:29 > 0:34:31increased triglycerides, irregular heartbeat.
0:34:31 > 0:34:33Basically, heart disease.
0:34:33 > 0:34:37That's not to mention what it would do to the pancreas, liver and kidneys.
0:34:37 > 0:34:39At least you're a woman.
0:34:39 > 0:34:42You don't have to think about erectile dysfunction.
0:34:42 > 0:34:46You see what you're doing right there? Classic denial.
0:34:46 > 0:34:48How is it denial? They're just medical facts.
0:34:48 > 0:34:52You're telling me what alcohol does to your body. You're not telling me why you drink.
0:34:52 > 0:34:54- I don't drink. - Why you want to drink, then.
0:34:56 > 0:34:58Do you want to know what I think?
0:35:01 > 0:35:04- Be my guest. - I've seen you at work today.
0:35:04 > 0:35:07You have this whole grumpy, misanthropic thing going on
0:35:07 > 0:35:10and I see your colleagues are all going, "Oh, that's just Dr Keogh."
0:35:10 > 0:35:12But what they don't realise
0:35:12 > 0:35:15is that grumpiness isn't your dominant emotion.
0:35:17 > 0:35:19There's something else going on underneath.
0:35:20 > 0:35:23I bet you can't maintain relationships with women.
0:35:26 > 0:35:30Was it your ex-wife? I bet she was the final straw.
0:35:30 > 0:35:33I bet you can hardly bear the idea of seeing her again.
0:35:33 > 0:35:37- I work with her, I see her every single day.- Oh...interesting.
0:35:37 > 0:35:40So, you're trapped in a world of unresolved issues...
0:35:40 > 0:35:43- That's nonsense- So, you dislocate yourself from polite society
0:35:43 > 0:35:45as it's the only way you can cope.
0:35:45 > 0:35:48And every now and then, you need to binge drink to let off steam...
0:35:48 > 0:35:50Half the world does that, it's perfectly normal.
0:35:50 > 0:35:52Because you can't admit you're an alcoholic.
0:35:54 > 0:35:55Physician, heal thyself.
0:35:59 > 0:36:00How am I doing?
0:36:02 > 0:36:04I came here to try and help you.
0:36:06 > 0:36:08I can see for the time being, I'm wasting my time.
0:36:11 > 0:36:13Wait!
0:36:18 > 0:36:20Did I kill Joseph?
0:36:22 > 0:36:25No, no, no, no, no.
0:36:25 > 0:36:28A bleed on the brain killed Joseph.
0:36:28 > 0:36:31I think that the alcohol he had last night
0:36:31 > 0:36:34was a contributing factor, but it would have happened anyway.
0:36:34 > 0:36:37I've seen his medical records - he had plenty of warnings
0:36:37 > 0:36:40about what would happen if he didn't stop drinking.
0:36:40 > 0:36:43I've got one of these, too.
0:36:43 > 0:36:44I've got a red one.
0:36:47 > 0:36:50It's a battle I fight every single day
0:36:50 > 0:36:52and I will do for the rest of my life.
0:36:52 > 0:36:55Some days are easier than others, but...
0:36:57 > 0:37:01..I have a decision to make and I choose to say no.
0:37:03 > 0:37:07What if I can't be cured? What if it's too late?
0:37:07 > 0:37:10If it's already damaged my body, I'd rather not...
0:37:10 > 0:37:11I'd rather not know.
0:37:14 > 0:37:17You don't look to me like somebody who's gone over the top just yet.
0:37:17 > 0:37:20SHE SCOFFS There'll be some internal damage, of course,
0:37:20 > 0:37:22but, you know, we can fix most of it. Maybe all of it.
0:37:22 > 0:37:25That's not the difficult bit. The difficult bit is up here.
0:37:25 > 0:37:29It's the choices you make once we've repaired the damage.
0:37:31 > 0:37:33It's not a one-time offer, Ciara.
0:37:35 > 0:37:37There will always be help available
0:37:37 > 0:37:40when you decide that you want to ask for it.
0:37:40 > 0:37:41But for now,
0:37:41 > 0:37:43for me...
0:37:44 > 0:37:46..this is your last call.
0:37:47 > 0:37:49Don't have that drink.
0:38:22 > 0:38:25Thought you said you hadn't seen it?
0:38:25 > 0:38:27I just wanted to see what all the fuss was about.
0:38:28 > 0:38:31Whoever is writing it, it will ruin their career.
0:38:31 > 0:38:33Wait, do you think it's me?
0:38:33 > 0:38:35No.
0:38:37 > 0:38:39OK.
0:38:40 > 0:38:43Hey. The orthopaedic surgeon got back to us about Amber.
0:38:43 > 0:38:47- What did he say?- He said he'd like to see a photo of the doctor
0:38:47 > 0:38:49offering a pint before he says yes.
0:38:49 > 0:38:51I'm joking. Take a look for yourself.
0:38:55 > 0:38:57OK.
0:38:57 > 0:39:00It'll be a pretty tricky operation on your femur -
0:39:00 > 0:39:02but if you do as you're told,
0:39:02 > 0:39:05you stand a good chance of making a full recovery.
0:39:05 > 0:39:06- TEARFULLY:- Thank you.
0:39:06 > 0:39:09That's enough crying for one day. Here, let me.
0:39:13 > 0:39:14If you're on your own,
0:39:14 > 0:39:17we can look into getting you some help.
0:39:18 > 0:39:22Do you think I'm weird, moving to a town where I know no-one?
0:39:22 > 0:39:24No. Doctors and nurses do it all the time.
0:39:24 > 0:39:27- SHE LAUGHS - Oh, and by the way,
0:39:27 > 0:39:29your bike is in the police pound.
0:39:29 > 0:39:33But don't go try to ride it for a while, OK? Promise?
0:39:33 > 0:39:34Doctor's orders?
0:39:34 > 0:39:36One of the perks of the job.
0:39:41 > 0:39:44Here you go, Peter. This should keep you a bit warmer.
0:39:44 > 0:39:47FLATLINE TONE
0:39:47 > 0:39:50Rash! Something's wrong! I pulled a lead out
0:39:52 > 0:39:54He's got no output...
0:39:55 > 0:39:59- What does that mean? - There's no pulse.- I've killed him!
0:40:01 > 0:40:03Can you not give him the kiss of life or something?
0:40:03 > 0:40:05We don't actually do that! You stitched me up, right?
0:40:05 > 0:40:07Dodgy patient, cleaner not helping...
0:40:07 > 0:40:09- It was just a joke! Can you help him?- It wasn't very nice.
0:40:09 > 0:40:12Yeah, well, neither is being accused of something that I didn't do.
0:40:12 > 0:40:15I need this job - people accept me here
0:40:15 > 0:40:17and I can't go round killing patients!
0:40:17 > 0:40:19OK.
0:40:22 > 0:40:24Don't worry. He was never in any danger.
0:40:24 > 0:40:26MONITOR BEEPS STEADILY
0:40:26 > 0:40:28So, truce?
0:40:30 > 0:40:33- Truce. - SHE SPITS
0:40:33 > 0:40:35Seriously? You're in a hospital!
0:40:40 > 0:40:42THEY CHUCKLE
0:40:53 > 0:40:56- Dr Keogh.- Yeah.
0:40:56 > 0:40:58- Ciara's test results.- All right.
0:40:58 > 0:41:01The drinking's taken its toll on her all right.
0:41:01 > 0:41:03But nothing that'll kill her today.
0:41:03 > 0:41:05I've referred her for counselling
0:41:05 > 0:41:07and they'll put her onto a community withdrawal programme.
0:41:07 > 0:41:10OK, well, let's discharge her.
0:41:12 > 0:41:14Could you emphasise to her
0:41:14 > 0:41:16the importance of attending the AA meetings?
0:41:26 > 0:41:28Can I ask you a question?
0:41:28 > 0:41:29Yeah, yeah.
0:41:29 > 0:41:31As long as it's medical.
0:41:31 > 0:41:32Yeah, it is.
0:41:32 > 0:41:34Kind of.
0:41:34 > 0:41:37Why did you not tell Joseph's wife
0:41:37 > 0:41:41the truth about the circumstances leading to his stroke?
0:41:42 > 0:41:45Because it wouldn't have benefited her, I mean, estranged or not.
0:41:45 > 0:41:47So, it wasn't because you were trying
0:41:47 > 0:41:49to protect that patient, was it?
0:41:49 > 0:41:52- No, why would it be? - Because you know her.
0:41:52 > 0:41:54- I don't know her. - Or she knows you.
0:41:54 > 0:41:58I'm not having a go, I'm just trying to learn the ethics.
0:41:58 > 0:41:59She's an alcoholic, isn't she?
0:41:59 > 0:42:02We all have our secrets.
0:42:02 > 0:42:05Look, don't take this the wrong way,
0:42:05 > 0:42:08but do you want to have a drink after work?
0:42:08 > 0:42:09Coffee, I mean.
0:42:10 > 0:42:12Um, I have other plans.
0:42:14 > 0:42:16Thank you. No.
0:42:18 > 0:42:20Dr Kinsella, can I have a word, please?
0:42:25 > 0:42:29You've treated a lot of patients today.
0:42:29 > 0:42:31- That's what you told me to do.- Yeah.
0:42:33 > 0:42:37And I understand orthopaedics have cleared Amber Wilson
0:42:37 > 0:42:41- of spinal injury.- Yeah, she'll likely make a full recovery
0:42:41 > 0:42:42if the femur heals properly.
0:42:42 > 0:42:44How would you have felt if she'd been paralysed
0:42:44 > 0:42:46because you decided to log roll?
0:42:46 > 0:42:49She'd have been a lot more paralysed if I'd let her choke to death.
0:42:49 > 0:42:51I just need to be sure that you can handle
0:42:51 > 0:42:53everything that's thrown at you.
0:42:53 > 0:42:56I can and...I did.
0:42:56 > 0:42:57Excuse me, Dr Hardy,
0:42:57 > 0:43:00I know that you have a lot more experience than me,
0:43:00 > 0:43:03but I haven't exactly felt supported by my clinical lead today.
0:43:03 > 0:43:06Yeah, I had to make a tricky call
0:43:06 > 0:43:08on whether or not to log roll Amber,
0:43:08 > 0:43:10but I made my decision and I made it fast,
0:43:10 > 0:43:12and it turned out to be the right one.
0:43:12 > 0:43:15And just because I was reading that blog doesn't mean I wrote it,
0:43:15 > 0:43:16or endorse it, or anything else.
0:43:16 > 0:43:20- You know, there's no law to say that I can't read it.- No.
0:43:20 > 0:43:23The NHS has its faults, but I just thought that, after today,
0:43:23 > 0:43:25you would see the commitment that I make to it.
0:43:25 > 0:43:27And I did.
0:43:27 > 0:43:29I do.
0:43:29 > 0:43:32Which is why I've decided to recommended you
0:43:32 > 0:43:34for a major trauma course.
0:43:34 > 0:43:35Oh.
0:43:38 > 0:43:41Until then, please try not to treat every patient
0:43:41 > 0:43:45- that comes through our doors single-handedly.- Noted.
0:43:46 > 0:43:48That's all.
0:43:48 > 0:43:50Unless there's anything else you wish to suggest
0:43:50 > 0:43:52about how I can do my job better?
0:43:52 > 0:43:54No, I'm good.
0:43:57 > 0:43:59Thank you.
0:44:30 > 0:44:34ENGINE SPLUTTERS
0:44:36 > 0:44:38ENGINE RATTLES
0:44:38 > 0:44:40KNOCK AT WINDOW
0:44:40 > 0:44:41Need a lift?
0:44:41 > 0:44:43SHE CHUCKLES
0:44:48 > 0:44:50Just take a right here, please.
0:44:50 > 0:44:54This is your area? Bea, you live in the best part of town!
0:44:54 > 0:44:56Are you living with your parents?
0:44:56 > 0:44:59Oh! You should invite Dr Kinsella to the jumble sale on Saturday.
0:44:59 > 0:45:01Oh, Mum, I don't think that's quite Bea's thing.
0:45:01 > 0:45:03It's for the old people's home.
0:45:03 > 0:45:05Rash helps every year.
0:45:05 > 0:45:07- He's a good boy.- He is. - All the other mothers ask me
0:45:07 > 0:45:11- when he's going to meet a girl and leave home.- Mum...
0:45:12 > 0:45:15Do you have a boyfriend, Dr Kinsella?
0:45:15 > 0:45:18Um... Um, we're here, so...
0:45:18 > 0:45:21Er, just drop me anywhere, thanks.
0:45:32 > 0:45:33See you tomorrow.
0:45:33 > 0:45:35- Yeah.- Bye.- See you tomorrow.
0:45:38 > 0:45:41- TO HERSELF: - Please go, please go, please go...
0:45:44 > 0:45:46CAR DRIVES AWAY
0:46:01 > 0:46:03DOOR OPENS
0:46:13 > 0:46:16Would anyone like to open the meeting?
0:46:17 > 0:46:19Yes?
0:46:20 > 0:46:21DOOR OPENS
0:46:24 > 0:46:25Sorry.
0:46:28 > 0:46:31My name's Dylan. I'm an alcoholic.