Episode 27 Casualty


Episode 27

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Transcript


LineFromTo

Heads of department meet, your first?

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-It's that obvious, is it?

-Yes.

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My 22-year-old in the ambulance is a red-flag sepsis.

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-Can we have a bed now?

-You're going to have to start treatment outside.

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We need to get all of this back inside his body. Are you ready?

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-HE RETCHES

-I'm so sorry.

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-No, no, no.

-What?

-Rash!

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Multi organ failure.

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If we'd got him in here earlier sooner,

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this would never have happened.

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-What?

-You're cancelling leave?

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We've overspent.

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

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I'm your boss, OK?

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So, whatever happens outside,

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in here, I tell you what to do and you do it.

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-LIFT CHIMES

-Doors opening. Lift going down...

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Urgent medical update - the NHS has just had a stroke.

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Seriously.

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It could have been avoided but down in the ED,

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the guts of the hospital, there is every chance we'll slump quietly

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into a corner, knowing that help will not be arriving any time soon.

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-LIFT CHIMES

-Doors opening.

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The idiots have cancelled all locums for the foreseeable future.

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There is not a sniff of time off for a single one of us.

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So, when you're in dire need of treatment and you look over

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and see that your medic has fallen asleep,

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try not to panic...too much.

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You appear to have your hands inside a man's chest.

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-Step aside, please.

-I'm not sure he's going to make it to theatre.

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I'll be the judge of that.

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-MACHINE BEEPS

-Right, how much blood has he had?

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Four units of packed red cells and four units of FFP.

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By the way, I'm loving the latest post.

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I'm surprised it's still up and running, though.

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I'm doing my best.

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Your best? Only losers talk about doing their best.

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Your time's up, Dr Hardy.

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I'm not a computer hacker.

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All I know is Serena wants the blog down by the end of the day.

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If you can't manage that, then she'll come down here,

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drag you outside and throw you into the nearest job centre.

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She can't sack me for that.

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You run the ED. The blogger clearly works here.

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Someone - namely you - will be held responsible,

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so you'd better get busy and end this, Ethan,

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before it ends you.

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MACHINE BEEPS

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Come on, people, you're better than this.

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Let's form an orderly queue...

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I can't even read this.

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It looks like it says "Sorry Bowel" -

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that's not a name.

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That definitely says "Bowel."

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Right, OK, erm...

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Mr Bowel?

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Mr Bowel? Anybody?

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See, this is the tired handwriting of somebody

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who's been working all the hours.

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-IN AMERICAN ACCENT:

-Yeah, but we must follow our Commander-in-chief

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and make this hospital great again!

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You really need a holiday, David.

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Yeah, but I was just...

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Don't worry about it. As soon as I see Ethan, I'm going to have a word.

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PHONE RINGS

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All right, I don't know what to do with that. Someone sort it out.

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They want the keys back by 11.

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That's barely enough time for a warm-up.

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Well, you were the one who took ages to get ready.

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Do you have to speak with your mouth full?

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Yes. Yes, I do. It's my new thing.

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Grab my bags, doofus.

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Guys, have you seen this?

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"The ED has had a stroke."

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Charlie, have you read it? That's sick.

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But true.

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Well, it's the one thing none of us can heal.

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Oh, well, that's powerful. Did you write this?

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Well, whoever it is, I don't know how they've got the time.

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I think it's poetic.

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What, it rhymes?

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No, in that it's heartfelt. I'd be proud of writing that.

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Something to tell us, Rash?

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ETHAN CLEARS HIS THROAT

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Can I get everyone's attention, please?

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Everyone? Thanks. A few things...

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Dr Kinsella, I'd like you on minors.

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Dr Munroe, Dr Masum, I'd like you in Resus.

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I don't think Rash is quite ready for Resus.

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OK. That's my call.

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Do you feel ready, Dr Masum?

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Yeah, yeah, I'm ready.

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Good.

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Sister Duffin, could you chase Radiology for

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the CT reports in cubicle five?

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Jacob, could you finish your statements for

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the outstanding complaints on your desk, please?

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Why is everybody complaining about my desk?

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-No...

-It's a joke, Ethan.

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Yeah, sorry, right...

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I got it.

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Yes, very good.

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Now, finally, this blogger...

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Guilty as charged.

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It's not me, I promise.

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Well, whoever it is, it ends now, OK?

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It is clearly somebody in the ED writing it, and it is hurtful

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and damaging to everything we're trying to achieve here,

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so if it is you, or you know who it is, stop or get them to stop.

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What if they don't?

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They will.

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I will find out who it is and it ends today.

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-AS LIAM NEESON:

-I will find you and I will kill you.

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THEY CHUCKLE

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I don't think you'll be laughing when you're

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signing their leaving card, Dr Kinsella.

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Alicia, can I have a word, please?

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-What, now?

-Yes.

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Hang on, someone'll get the sack for writing the blog?

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Can they do that?

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I don't know.

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Bye, Rash. It was lovely working with you.

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SHE GRUNTS

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KACEY LAUGHS

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Again! Do it again!

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This has got to go on the fan page.

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AS LIAM NEESON: I will find you and I will kill you.

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Did you ever see that film?

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Cal used to watch it all the time.

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Yeah, I watched it with him once.

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"The idiots have cancelled all locums for the foreseeable future."

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So that's me, the idiot.

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It says plural - I think it means everyone who's in charge.

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Is it you?

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Excuse me?

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Is it you? Yes or no?

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No!

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And that is a no with a big exclamation mark.

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You'd really think that of me?

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ETHAN SIGHS No.

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I hope you're going to drag everyone else in here and accuse them.

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I need your help.

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OK, I'm not exactly popular right now,

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but if you could do some friendly digging...

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You must think a lot of me

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if you think I'd rat out one of my colleagues.

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I need to close this down today.

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And I'm not going to be responsible for somebody losing their job.

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So that's where we are, is it?

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Same as when I walked in here.

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Oh, go on!

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-Oh, shut up!

-Go on, you...

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ENGINE RUMBLES

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-SHE GIGGLES

-Bea...

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-SIREN WAILS

-Were you meditating?

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No.

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Crying inwardly?

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No...

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I can swap.

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You know, Ethan'll be so busy hunting that blogger,

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he'll never know.

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No, this day had to come sometime.

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-I know what caused that.

-Caused what?

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-The blindness.

-I'm not blind.

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You've been doing things that they warn you about.

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What? No, you're...

0:08:380:08:40

That's wrong, Bea. There's a line, OK.

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You seriously need to break your duck, OK?

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You're more wound up than a wound-up thing.

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And just so you know, Resus is that way.

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Move. Do you want me to drag it all out here?

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The whole of Resus? I will do it.

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It's not the actual room, OK? It's not that.

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Good. You're talking. Keep going.

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Resus is the place where patients go in, and sometimes don't come out.

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That's the job, Rash.

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Yeah, but it's mad in there. It's so intense.

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What if I make a mistake?

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What if there's some scared family with their faces pressed up

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against the door looking in,

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and I'm working on their dad, and something goes wrong?

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Or I just can't do enough to save him...

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Some patients aren't going to make it out.

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That's a given. You can put your house on it.

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Yeah, and it's terrifying.

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But if I don't even try, then what is the point of me?

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I should have just got an office job.

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Well, you didn't, because inside there is a doctor, OK?

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Not a salesman or a clerk - a doctor.

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So you can either walk into Resus or you can sit out here

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and fill your pants.

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Either way is messy.

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Steady. Don't damage the goods.

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You're fine.

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You're down. You're safe.

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Still walking perfection...

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The bars felt a bit off, like they were rattling a bit.

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Want to go again?

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Give me five.

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Did Nadia Comaneci take five?

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It's the difference between gold and silver, Kace.

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Wow. It actually talks sense.

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Love you too, sis.

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One, two, three.

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RATTLING

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RATTLING

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RATTLING

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Kacey, wait!

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DONNA GRUNTS

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BONE SNAPS

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KACEY SCREAMS

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And next time, try banging the nails into the wood.

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-Thank you, doctor.

-Charlie...

-Yeah?

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Last week, do you remember there was an elderly gentleman

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with a badly broken foot? Do you remember his name?

0:11:300:11:33

Yeah, give me a minute.

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It was a famous name...

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Nicholson!

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-Jack Nicholson, that was it.

-Yeah.

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I didn't even get his autograph.

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Why are you asking?

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There was also a young woman with self-inflicted burns...

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What's this about?

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It's for a report.

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Well, have there been complaints?

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No, no... It's nothing like that.

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Well, I saw an awful lot of patients last week.

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Yeah.

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OK, well, if it comes to you, can you come and find me, please?

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Yes, I will.

0:12:050:12:07

Ethan, what's this really about?

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ETHAN SIGHS It's...

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"It can only be described as a low point in my working life

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"when I had to explain to this fragile young woman

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"I couldn't treat her for another hour because of a staff meeting."

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Ouch.

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Yeah.

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I think it might have been Nelson?

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Or Nilsen?

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Thank you.

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Right, do you want to take the girl over there?

0:12:420:12:45

Kacey, I'm Sam.

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I'm going to look at your ankle and give you something for the pain, OK?

0:12:470:12:50

We're just going to take a look at you. What happened here, then?

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-DONNA GROANS

-Oh, hold that thought.

0:12:520:12:54

We'll come back to that.

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OK, I'm looking at a dislocated jaw.

0:12:560:12:58

Iain, have you got the oxygen?

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Yeah, just one second. Right, I'm just going to help my colleague,

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and then I'll be back with some pain relief. Just sit tight, OK?

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Right, heart rate's 100 and it looks pretty nasty.

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Are you on any medication?

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-There we go.

-How bad is this?

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I can't really say at this time.

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-KACEY WHIMPERS

-Kacey? Kacey! Kacey, stay with me!

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Kacey, just breathe nice and normally. That's it!

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Check her pedal pulse.

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Yeah, there's no pulse.

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I think the fracture's compressing the artery.

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It needs manipulating.

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Well, that's your call.

0:13:340:13:37

Let's do it or she could lose her foot.

0:13:370:13:39

Roger that. I'll keep an eye on her sats.

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I'm drawing up the morphine. Are you happy with 10mg?

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Absolutely. She's going to need it.

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OK. Right, morphine going in...

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OK, Kacey, you're doing a really good job.

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This will all be over soon. OK, are you ready?

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Yeah, that's in.

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Nice and steady.

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KACEY SCREAMS

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KACEY HOWLS IN PAIN, DONNA SOBS

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Well done, Kacey. Really well done.

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-Yeah, I've got a pulse.

-OK, keep some pressure on it.

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I'll grab the splint. Hold on.

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Power corrupts, Robyn, but absolute power absolutely corrupts.

0:14:130:14:16

You want to write fridge magnets, mate.

0:14:160:14:17

I've probably missed that boat now.

0:14:170:14:20

Noel, could you find me the patient records for these names, please?

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I'll do my best.

0:14:230:14:24

No, I need it done, OK?

0:14:240:14:26

Only losers talk about doing their best.

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A bit harsh.

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And it's "absolute power corrupts absolutely."

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Wow. Like you've not got enough to do already.

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Yeah, and these shift schedules won't colour-code themselves,

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will they?

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PHONE RINGS

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Emergency services...

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DOOR OPENS

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-Cheers, lads.

-You want this one?

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Or the other one?

0:15:000:15:02

Deep breaths. Remember your training.

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Don't wet yourself.

0:15:040:15:06

I'll, uh... I'll take the other one, definitely.

0:15:060:15:08

Good choice. Fractured dislocation of the ankle.

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It's a right mess, but I'm sure you can handle it!

0:15:110:15:13

Doctor?

0:15:220:15:23

HE GULPS

0:15:230:15:25

Right, well, it's little wonder that people are writing blogs

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if that's how the F1s are behaving.

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He'll shape up. I'm sure he will.

0:15:300:15:33

If he can't handle it, I don't see the point of him returning as an F2.

0:15:330:15:36

Could you cover Resus? OK?

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You might make it in time for the handover.

0:15:380:15:41

This blog's clearly getting to Ethan.

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Must be a lot of stress.

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Do you agree with her, then?

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Her?

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Or him.

0:15:480:15:49

Kacey Moffat, 19.

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She's sustained an open fracture to her left ankle

0:15:510:15:53

at 9:40 this morning...

0:15:530:15:54

Hi, I'm Bea and I'll be your doctor for the rest of the flight.

0:15:540:15:58

Which does not mean that I will be your trolley dolly.

0:15:580:16:01

Pulse is 105, BP is 119 over 70...

0:16:010:16:03

Do you want to just lean back and make yourself comfortable, now?

0:16:030:16:06

All right, Teddy, nothing to worry about. It won't hurt.

0:16:070:16:10

Now, is there anyone you would like me to call? Hmm?

0:16:100:16:13

All right, look, why don't I have a look in your bag,

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get your phone out, if that's all right with you,

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and see what numbers are on it, yeah?

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Hey, I thought you were in Resus today.

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Er, yes, a change of plan.

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You're Teddy, right? It's a great name, by the way.

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I'm Dr Masum.

0:16:310:16:33

The Child Welfare Officer's outside.

0:16:330:16:35

I could ask her to come in, if you like.

0:16:350:16:38

Maybe in a minute.

0:16:380:16:40

OK, erm...

0:16:400:16:41

So, you called the police.

0:16:410:16:43

Can I ask why?

0:16:430:16:46

They said you were shivering when they found you.

0:16:460:16:48

Have you been out all night?

0:16:480:16:49

Partying?

0:16:500:16:52

Your parents will be very worried, won't they?

0:16:550:16:57

I know my mum would be. She still thinks I'm only six years old.

0:16:570:17:00

OK, well, that's enough chat for now.

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I'm going to have a listen to your chest,

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while David here puts some stickers on your tummy.

0:17:100:17:13

-Is that OK?

-Yeah? All right.

0:17:130:17:15

Great. Deep breath...

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Good man. And one more.

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OK, great.

0:17:230:17:25

Now, we'll definitely get you warmed up in a minute

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but, first of all, is it OK if I have a quick feel of your belly?

0:17:280:17:31

Great. Now, I know you can talk because you called the police,

0:17:320:17:36

which was very good thinking, by the way,

0:17:360:17:38

but, equally, if you don't fancy talking, that's fine.

0:17:380:17:42

Maybe you could just point to where it hurts.

0:17:420:17:44

Your heart hurts?

0:17:500:17:51

David, how are his obs?

0:17:540:17:56

Erm... Yeah, no... They're...

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They're spot on.

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OK, got your X-rays back,

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and there's no sign of fracture to the jaw,

0:18:070:18:10

but you have dislocated it and I'll need to realign it.

0:18:100:18:14

Get the fentanyl, Charlie.

0:18:140:18:15

Yes. Now, I'm just going to pop this into your hand.

0:18:150:18:18

It might make you feel drowsy but it'll help with the pain.

0:18:180:18:22

Now, this is going to be a bit weird,

0:18:220:18:23

but I'm going to put my thumbs in your mouth.

0:18:230:18:26

Not every day you hear that.

0:18:260:18:28

I'm going to have to pull your jaw back into place

0:18:280:18:30

and your first reaction will be to bite me.

0:18:300:18:32

And as we all know, doctors do need their thumbs.

0:18:320:18:35

But if you could be brave for me...

0:18:350:18:37

OK, look at me.

0:18:370:18:38

Now, just try and think happy thoughts...

0:18:400:18:42

-Impossible, I know...

-DONNA GROANS

0:18:440:18:46

BEA GROANS

0:18:460:18:48

OK. Can you get on to Maxfax?

0:18:480:18:50

And, Donna, just try not to move your jaw.

0:18:500:18:53

We'll monitor you for a few hours.

0:18:530:18:55

Don't open your mouth widely, and if you need to cough

0:18:550:18:57

or feel yourself about to sneeze, just grip your jaw when you do,

0:18:570:19:01

but, all told, not too bad.

0:19:010:19:03

Give yourself about six weeks and you'll be back to your chatty self.

0:19:030:19:06

Ow...

0:19:070:19:09

We're going to get you in to X-ray as soon as there's a slot.

0:19:130:19:16

I've been training since I could walk,

0:19:180:19:21

and that stupid great lump...

0:19:210:19:22

I'll never forgive her.

0:19:250:19:28

Never.

0:19:280:19:29

LIFT CHIMES

0:19:300:19:32

Heads up, here comes Dr Von Doom.

0:19:320:19:34

Yeah? Watch this.

0:19:340:19:36

Noel, any progress on the notes I asked for?

0:19:360:19:39

Sorry. Computer's had a stroke.

0:19:390:19:40

-Is that a joke?

-She laughed.

0:19:420:19:45

Just get it done, OK? You've got 15 minutes.

0:19:460:19:49

Do you understand?

0:19:490:19:50

-NOEL SIGHS

-Where do people go, eh, Robyn?

0:19:520:19:54

He used to be such a decent bloke.

0:19:540:19:56

I know. And to think I used to fancy him.

0:19:560:19:58

I mean, not a lot, but he had potential.

0:19:580:20:00

Oh. Computer says yes.

0:20:020:20:05

Ta-dah!

0:20:050:20:06

Warmer?

0:20:090:20:11

Teddy!

0:20:110:20:12

Cheese sandwich. The finest money can buy.

0:20:130:20:16

When was the last time you ate?

0:20:220:20:23

DAVID CLEARS HIS THROAT

0:20:250:20:27

Social services found a number for his mum on his mobile

0:20:300:20:33

but it went straight to voicemail.

0:20:330:20:35

They try his dad.

0:20:350:20:36

No mention of his dad. He's only got six numbers on it.

0:20:360:20:40

-RASH SIGHS

-OK, erm...

0:20:400:20:43

Teddy, you called the police, but when they found you,

0:20:430:20:46

you didn't say why you had called.

0:20:460:20:48

You just said that you were frightened and lost.

0:20:480:20:52

OK, Teddy, here's the deal -

0:20:520:20:55

I'll swap you this muffin for you telling us

0:20:550:20:59

everything we need to know.

0:20:590:21:01

David, what are you doing?

0:21:010:21:02

Trust me, trust me... Kids will do anything for food.

0:21:020:21:05

Erm... Teddy, we've put a call in to your mum.

0:21:110:21:15

You know where she is?

0:21:170:21:19

Ah, you see? The old muffin technique works every time.

0:21:210:21:26

Just cubicle one, please, guys. Thank you.

0:21:280:21:32

OK, I have looked at your results,

0:21:320:21:34

and I'm afraid you are going to need surgery.

0:21:340:21:37

-Kace...

-Nice one.

0:21:370:21:39

All those years down the drain cos of your big, lardy chin.

0:21:390:21:42

We still need to wait for the orthopaedic consultant

0:21:420:21:44

to come down and have a word.

0:21:440:21:46

I should have kicked you harder.

0:21:460:21:48

She will get better, won't she?

0:21:480:21:50

Erm...

0:21:500:21:51

Yeah, it's quite an unusual fracture so it will take time to heal.

0:21:510:21:54

I can't really promise anything at this stage.

0:21:540:21:57

Come on, Teddy, mate, talk to us.

0:22:010:22:03

Was your mum not around last night?

0:22:030:22:05

Please, Teddy, when was the last time you saw her?

0:22:050:22:07

OK, you started calling her at 4pm -

0:22:070:22:09

was that when you came home from school?

0:22:090:22:11

And you've been phoning her ever since, up until 11 last night.

0:22:110:22:13

-Did you go out looking for her?

-And you got lost? Is that it?

0:22:130:22:16

And that's why it hurts here?

0:22:160:22:17

Because you're frightened something might have happened to her?

0:22:170:22:20

Teddy, the police are here,

0:22:200:22:22

-so we can find out if your mum's missing...

-Teddy?

0:22:220:22:25

-Mum?

-What are you doing here?

0:22:270:22:28

-He was down by the underpass. He'd got lost.

-What?

0:22:300:22:33

All right, come on, you. Let's get you home.

0:22:330:22:35

I'm sorry, excuse me, you can't just...

0:22:350:22:37

-We're still warming him up.

-Exactly.

-Oh.

0:22:370:22:39

Is that what this thing is?

0:22:390:22:41

Yeah, it is. He spent all night looking for you.

0:22:410:22:44

You didn't you notice he'd gone? No. Too busy shopping, were you?

0:22:440:22:47

-David...

-He's got a mouth on him.

-I'm just saying.

0:22:470:22:49

Teddy was very cold when we found him,

0:22:490:22:51

but we've managed to get him stable.

0:22:510:22:52

I'd still like to keep him in a bit longer, though.

0:22:520:22:55

Oh, all right. If we have to hang around...

0:22:550:22:58

Can I ask you a question, please?

0:22:580:23:00

Yes, of course, that's what we're here for.

0:23:000:23:02

Do you have a phone charger?

0:23:020:23:04

Erm... We can see if there's one in the staffroom.

0:23:040:23:08

-David, do you mind...?

-What? No, please... Look, I...

0:23:080:23:10

What? Should I get you a free upgrade while I'm at it?

0:23:100:23:13

SIM-only, if you can. Yeah.

0:23:130:23:15

Butterfingers.

0:23:180:23:19

See that, Teddy? Got me all flustered.

0:23:190:23:21

Are you all right?

0:23:230:23:24

Yeah, I am now.

0:23:260:23:28

Hi. The consultant's on his way down.

0:23:330:23:35

I'm so sorry about your wait.

0:23:350:23:36

Hear that, Donna? A consultant.

0:23:360:23:38

You should be in theatre within the hour.

0:23:390:23:41

You will be under general anaesthetic, so it's important

0:23:410:23:44

that I run through some questions with you.

0:23:440:23:45

You're not on any regular medication, are you?

0:23:450:23:48

Sorry to interrupt. Can I borrow you, please?

0:23:500:23:53

Sorry, I won't be a sec.

0:23:530:23:54

What was it, Donna?

0:23:560:23:58

Me taking that photo?

0:23:580:24:00

I wasn't really going to put it online.

0:24:000:24:03

Do you think I'd do that to you?

0:24:030:24:05

I... I don't understand.

0:24:050:24:08

Come on, you know the golden rule -

0:24:080:24:12

you never step in that close when I'm going through a routine.

0:24:120:24:16

You've never done it once, but today...?

0:24:160:24:19

Why today, Donna?

0:24:190:24:20

I thought the frame was coming loose.

0:24:210:24:24

You said to go again.

0:24:240:24:25

It's not my fault I've got all the gifts.

0:24:280:24:30

I didn't do anything...

0:24:300:24:32

Well, I don't have them any more.

0:24:320:24:34

You've got to be happy about that.

0:24:340:24:37

We can be the same now, you and me -

0:24:370:24:39

nobodies.

0:24:390:24:40

You're not my sister,

0:24:420:24:44

not any...

0:24:440:24:45

KACEY GULPS Kacey?

0:24:470:24:50

Kacey! Somebody, please!

0:24:500:24:51

Ah! Oh, no!

0:24:510:24:54

OK, can we get her on her side,

0:24:570:24:59

and can we get suction, please?

0:24:590:25:01

Are you OK? Let me have a look.

0:25:010:25:03

SUCTION HISSES

0:25:030:25:05

Donna, has your sister had a seizure before?

0:25:050:25:08

DONNA WHIMPERS

0:25:080:25:09

OK, it's very important that we know that.

0:25:090:25:13

All right. No, she hasn't.

0:25:130:25:15

OK, let's get her to Resus, please, as quick as we can.

0:25:150:25:18

That was very helpful, OK?

0:25:210:25:23

Your sister's lucky to have you.

0:25:230:25:25

DONNA WHIMPERS It's all right. It's OK.

0:25:250:25:28

One charger.

0:25:280:25:30

Why were you out there, sweetheart?

0:25:300:25:33

I was coming home. I was...

0:25:330:25:35

You've got to stay put for Mummy.

0:25:350:25:36

I went to your shop, where you work.

0:25:360:25:38

I don't work there now. I told you that.

0:25:380:25:41

I'm working in another shop.

0:25:410:25:43

I phoned you.

0:25:430:25:44

It was off. Shop rules.

0:25:460:25:48

Long shift, was it?

0:25:480:25:49

It was still off at 11 last night.

0:25:490:25:52

When can we get going?

0:25:520:25:54

I'm still a little worried about Teddy.

0:25:540:25:56

It was cold last night and all he had on was a thin jacket.

0:25:560:25:59

Have you got any more of these going free?

0:25:590:26:02

Erm... David, do you mind?

0:26:020:26:05

Are you serious?

0:26:050:26:06

Yeah.

0:26:060:26:07

Do you know what? I might go and grab one myself, actually.

0:26:120:26:16

I won't be a minute, love.

0:26:160:26:17

Two seconds, please. I promise you.

0:26:170:26:20

Teddy, I'll be right back, mate.

0:26:240:26:26

Dr Hardy!

0:26:310:26:32

Those notes - it was Miss Neeson, not Nelson.

0:26:320:26:37

That's why it took so long.

0:26:370:26:39

There you go.

0:26:390:26:40

Thank you.

0:26:400:26:41

Mrs Badir!

0:26:410:26:43

Dr Masum, you're meant to be in Resus.

0:26:430:26:46

Yeah, but this case came in.

0:26:460:26:48

You said you were ready? OK?

0:26:480:26:51

What am I meant to tell HR, hmm?

0:26:520:26:54

I'm sorry. Excuse me, Dr Hardy.

0:26:540:26:56

Unbelievable.

0:26:570:26:58

ETHAN SIGHS

0:27:040:27:05

Of course.

0:27:080:27:10

What is it?

0:27:100:27:11

No. That can't be right...

0:27:130:27:15

It's basic psychology, isn't it?

0:27:150:27:17

Can't do their own job properly,

0:27:170:27:18

so complain about everybody else doing theirs.

0:27:180:27:21

That doesn't necessarily mean...

0:27:210:27:22

That's exactly what it means.

0:27:220:27:24

Right...

0:27:240:27:26

Mrs Badir?

0:27:290:27:30

Nadia?

0:27:320:27:33

-Nadia, can you hear me?

-Mum?

0:27:330:27:35

-Nadia...

-Mum! Wake up!

0:27:390:27:42

-Nadia, can you hear me?

-Mum, wake up!

0:27:420:27:45

Erm...

0:27:460:27:49

Can you do something for me?

0:27:490:27:50

Just...I haven't got my phone and one of us has got to go for help.

0:27:500:27:53

You just have to run in,

0:27:530:27:55

and grab someone that looks like they work here, OK?

0:27:550:27:57

I don't want to leave your mum.

0:27:570:27:58

Me neither.

0:27:580:27:59

Teddy, you see these?

0:28:030:28:04

Now, they're plastic or glass or something.

0:28:040:28:07

Now, I wear them because they make me feel

0:28:070:28:09

I could be something I'm not or at least try to be anyway.

0:28:090:28:13

I don't know if they're working, at least not for me,

0:28:130:28:15

but maybe if you wear them...

0:28:150:28:16

Yeah? Maybe if you wear them, they'll make you feel brave.

0:28:160:28:20

Look at that.

0:28:200:28:22

They're working already. Yeah?

0:28:220:28:25

Good. Go. Just go!

0:28:250:28:26

MACHINE CHIMES

0:28:300:28:32

How's that OP coming, Duffy?

0:28:320:28:33

Not an option, I'm afraid. Her jaw's locked.

0:28:330:28:35

OK, let's try her with an NP instead, then, please,

0:28:350:28:37

and can we have 4mg of lorazepam ready, just in case?

0:28:370:28:40

-It's not advancing.

-Yeah, OK, just keep trying.

-Yeah.

0:28:430:28:46

This is looking like status epilepticus.

0:28:460:28:48

Can we prepare a phenytoin infusion and get a filter ready?

0:28:480:28:52

Oh.

0:28:520:28:53

OK, forget that, let's get this bleeding under control,

0:28:530:28:56

and try the other nostril, please.

0:28:560:28:58

MACHINE HISSES

0:28:580:29:00

There we go.

0:29:030:29:06

Just keep that on for me, OK?

0:29:060:29:08

Has your sister ever had seizures before?

0:29:100:29:13

It's a bit odd just happening out of the blue.

0:29:150:29:19

-Well, I'll get you some painkillers sorted out now, OK?

-Yeah.

0:29:190:29:22

Right, let's get that lorazepam in,

0:29:260:29:27

and can I have the phenytoin infusion

0:29:270:29:29

at 20mg per kilo, just in case?

0:29:290:29:30

Should we maybe think about getting a consultant in?

0:29:300:29:33

No, there's no time.

0:29:330:29:34

-Where's Kacey's bag?

-Not now, please.

0:29:340:29:36

I think she might be taking something.

0:29:360:29:38

Donna...

0:29:390:29:40

MACHINE CHIMES

0:29:400:29:42

Could it be these?

0:29:430:29:45

KACEY SPLUTTERS

0:29:450:29:47

I don't know what they are.

0:29:470:29:48

They're steroids!

0:29:480:29:49

She's got extensive hyperpigmentation

0:29:520:29:54

in her flexor creases and she's severely tachycardic.

0:29:540:29:57

Can we start her on 150ml of 3% saline

0:29:570:29:59

and keep her airway clear, please, Duffy?

0:29:590:30:01

I'll order an endocrinology review,

0:30:010:30:03

and can we send off a random cortisol, please?

0:30:030:30:05

Will she be all right?

0:30:050:30:06

She will get there, but if we hadn't brought her in today...

0:30:060:30:09

What do you mean?

0:30:090:30:11

She could've had this fit somewhere else.

0:30:110:30:13

We might not have got to her in time.

0:30:130:30:15

There, she's stabilising.

0:30:150:30:17

ALICIA SIGHS

0:30:170:30:20

It's over, then. The dream of gold.

0:30:210:30:24

To be honest, the reaction to the steroids aside,

0:30:240:30:26

there's a good chance that by taking them she'd already

0:30:260:30:29

caused her bones to weaken.

0:30:290:30:30

She thinks it was my fault.

0:30:300:30:32

I mean, it's a bad fracture,

0:30:330:30:35

but unlikely that the landing alone would cause such a severe one.

0:30:350:30:38

She won't believe that. I'll still get it in the neck.

0:30:380:30:42

Do you want to come and sit with her?

0:30:420:30:43

What, the girl with all the gifts? No, thanks.

0:30:430:30:47

DOOR BANGS

0:30:470:30:49

Her radial pulse is extremely weak and her heart rate is over 200.

0:30:490:30:51

OK, let's get her into Resus and onto a cardiac monitor pronto.

0:30:510:30:54

-OK.

-Come on, Rash.

0:30:540:30:56

Rash?

0:31:000:31:01

She's in safe hands, mate. The doctors will look after her.

0:31:020:31:05

But you're a doctor.

0:31:070:31:08

-I can take it from here.

-Are you sure about that?

0:31:240:31:27

-I can do it, Jacob.

-OK.

0:31:270:31:29

Can we draw up 2mg of midazolam and watch her airway?

0:31:290:31:32

OK, she's got a broad complex tachycardia

0:31:320:31:34

and is haemodynamically compromised.

0:31:340:31:36

That looks like polymorphic VT on the monitor,

0:31:360:31:39

and she was displaying signs of paraesthesia earlier,

0:31:390:31:41

so I'm confident this is hypokalaemia secondary to

0:31:410:31:44

an electrolyte deficiency resulting from malnutrition.

0:31:440:31:46

She needs cardioversion.

0:31:460:31:47

-I'm going to sync the defib and charge to 125.

-All right.

0:31:470:31:51

OK.

0:31:510:31:52

-DEFIBRILLATOR HUMS

-Oxygen away. Stand clear.

0:31:520:31:56

-Clear.

-And shocking...

0:31:560:31:58

DEFIBRILLATOR THUMPS

0:31:580:32:00

-Try again?

-Yeah.

0:32:020:32:03

I'm going to go to 150.

0:32:030:32:05

-Oxygen away. Stand clear.

-DEFIBRILLATOR HUMS

0:32:070:32:09

Clear.

0:32:090:32:10

Shocking again...

0:32:100:32:12

DEFIBRILLATOR THUMPS

0:32:120:32:14

MACHINE CHIMES

0:32:140:32:16

Jacob, talk to me, please.

0:32:170:32:19

She's back in sinus rhythm.

0:32:210:32:22

OK, erm, good.

0:32:260:32:28

Can we get a 12-lead ECG, a U and E, an urgent magnesium

0:32:280:32:32

and a thyroid function, as quick as we can?

0:32:320:32:34

Let's give her a stat dose of IV magnesium, 2g.

0:32:340:32:37

She may need potassium but we'll see what her bloods look like.

0:32:370:32:40

On it. Nice work.

0:32:400:32:42

OK, her heart rate's normal, sats are steady,

0:32:430:32:47

and her corrected QT has normalised.

0:32:470:32:49

You animal, you've smashed it.

0:32:490:32:52

Hey, kid, listen, your mum's going to be OK, all right?

0:32:520:32:55

MACHINE BEEPS STEADILY

0:32:550:32:57

So this is what Resus feels like.

0:32:580:33:01

Is he wearing your glasses?

0:33:010:33:02

They're not mine.

0:33:050:33:06

You are a monster, Rash Masum!

0:33:070:33:10

HE CHUCKLES

0:33:100:33:12

All right...

0:33:170:33:18

Alicia, she's coming round.

0:33:220:33:24

Hi, Kacey. How are you feeling?

0:33:300:33:32

What happened?

0:33:340:33:36

I was talking to Donna and then...

0:33:360:33:39

You had a seizure, thanks to these.

0:33:390:33:43

Donna found them.

0:33:430:33:45

And just in the nick of time, as well.

0:33:450:33:47

It was that close?

0:33:480:33:50

I didn't have all the information. I was running out of ideas.

0:33:500:33:53

Where is the doofus, then?

0:33:540:33:56

What? Skulked off, has she?

0:34:000:34:01

She has, actually, yeah.

0:34:010:34:03

Not for real, though.

0:34:050:34:07

Well, we asked if she wanted to be here with you and...

0:34:070:34:10

She's teasing.

0:34:120:34:13

I was four when she first lifted me up onto the bars.

0:34:150:34:19

Been there for every training session, every competition...

0:34:190:34:23

She's not leaving me now.

0:34:250:34:27

Sounds like she's the best of all your gifts.

0:34:270:34:30

KNOCK AT DOOR

0:34:360:34:38

There you go.

0:34:380:34:40

Thank you.

0:34:400:34:41

Noel, could you get Dr Masum for me, please?

0:34:410:34:45

Yeah, sure, no problem.

0:34:450:34:47

And can you put a call in to Jac Naylor, ask her to come down here?

0:34:470:34:51

Erm... I'm actually not a secretary.

0:34:510:34:53

Two things - both take less than a minute each.

0:34:540:34:57

You do them, then.

0:34:570:34:59

This is very important, OK?

0:34:590:35:01

I know who the blogger is.

0:35:020:35:03

Oh...

0:35:030:35:05

You're the boss.

0:35:060:35:08

Thank you.

0:35:080:35:09

So, erm... Who is it, then?

0:35:100:35:14

Now, please.

0:35:140:35:15

Are you sure you don't want to go and see Kacey?

0:35:310:35:33

She knows what you did for her.

0:35:330:35:35

I saved her life with my chin, if you think about it.

0:35:370:35:41

Yeah, and how many people can say that?

0:35:410:35:43

The thing is, if it is over for her...

0:35:430:35:47

..it's over for me too.

0:35:490:35:52

And I need to maybe...

0:35:520:35:53

Start thinking about yourself?

0:35:530:35:55

It wouldn't do any harm to tell her that.

0:35:570:36:00

True, but then I can't really talk for six weeks, can I?

0:36:000:36:06

-No.

-THEY LAUGH

0:36:060:36:08

Look after yourself.

0:36:110:36:12

Miss Naylor, please.

0:36:170:36:18

Yeah, well, when Miss Naylor has a moment,

0:36:200:36:22

Dr Hardy would like to see her. Thank you.

0:36:220:36:25

Twice in one shift - has he got the hots for her or something?

0:36:250:36:29

He knows who the blogger is.

0:36:290:36:30

And?

0:36:320:36:33

He also wants to see Dr Masum too.

0:36:350:36:37

Where are my bags?

0:36:500:36:52

Is this what you're looking for?

0:36:560:36:59

What I don't understand is why someone who goes on shopping sprees

0:36:590:37:03

would need to use a foodbank.

0:37:030:37:04

Pass my bag.

0:37:060:37:07

I carry this bag with me

0:37:150:37:17

because it makes me feel like I'm worth something.

0:37:170:37:20

NADIA SOBS

0:37:300:37:31

I got another job, minimum wage.

0:37:310:37:35

I'm working days as well as nights now,

0:37:350:37:38

but I still have to take hand-outs.

0:37:380:37:41

I take enough to feed Teddy and no more.

0:37:410:37:44

If he's all right, I'm all right.

0:37:460:37:50

But you're not all right, Nadia.

0:37:500:37:53

And if you're never at home, then how can you be there for Teddy?

0:37:530:37:57

And if I am, how do we survive?

0:37:570:38:01

How do we do that?

0:38:010:38:03

Because, you know, if you've got a better answer, then I'm all ears.

0:38:030:38:07

Sorry, Dr Masum.

0:38:080:38:11

Dr Hardy wants to see you.

0:38:110:38:12

Yeah, when I get a moment.

0:38:120:38:14

That moment's now.

0:38:140:38:15

You're not just going to stand there, are you?

0:38:250:38:27

Uh... Rash? Ethan doesn't need to see you now.

0:38:290:38:32

OK, thanks.

0:38:340:38:36

SHE KNOCKS ON DOOR

0:38:480:38:50

Hi. Have you got a minute?

0:38:500:38:52

I'm about to have a meeting, actually.

0:38:520:38:54

Yes, I am the meeting.

0:38:540:38:57

How do you mean?

0:38:590:39:02

You can't go after Rash.

0:39:020:39:03

How did you know it was him?

0:39:060:39:08

Noel's been playing detective.

0:39:080:39:11

HE CHUCKLES

0:39:110:39:12

Yeah, of course.

0:39:120:39:14

I finally worked it out from the cases he was writing about.

0:39:140:39:18

Clever. Wrong person, though.

0:39:180:39:20

Sorry?

0:39:220:39:23

You asked me to do some digging.

0:39:250:39:27

Which you refused, yeah.

0:39:270:39:29

Because I didn't need to.

0:39:290:39:31

I know who the blogger is, Ethan,

0:39:340:39:38

so, before you hang the wrong person, you need to know that

0:39:380:39:43

I was mentoring him on the cases that were blogged about.

0:39:430:39:45

DOOR OPENS

0:39:480:39:50

I usually spend my lunch break avoiding all human contact,

0:39:510:39:54

so this had better be good.

0:39:540:39:55

It's not good, if I'm honest.

0:39:590:40:01

But I've found the blogger.

0:40:040:40:05

Well, you hide that bruising bitterness well.

0:40:090:40:12

It's always the quiet ones who shout the loudest.

0:40:120:40:14

Wait, it's...

0:40:140:40:16

Dr Munroe, she...

0:40:160:40:18

She helped me work it out.

0:40:190:40:22

Well, give me the name, then. I left a cappuccino for this.

0:40:220:40:26

All I can say is the blog won't be back.

0:40:260:40:29

And you know this because...?

0:40:290:40:30

Because I gave them an ultimatum.

0:40:300:40:32

Either a meeting with Serena or the site comes down forever.

0:40:330:40:39

The name, Ethan.

0:40:420:40:45

Anonymity was part of the deal, I'm afraid,

0:40:450:40:48

and I don't think it looks good to hang one of our own.

0:40:480:40:51

Depends who it is. There are quite a few people I wouldn't mind...

0:40:510:40:54

Well, I'm sure, but it's done.

0:40:540:40:57

It's over.

0:40:570:40:58

How did you work it out?

0:40:580:41:00

Well, if I told you, you'd just work it out for yourself, so...

0:41:010:41:04

Hmm... I like your thinking. I'm almost impressed.

0:41:060:41:10

So I can tell Serena and the board that it's all gone away.

0:41:100:41:13

It definitely has.

0:41:130:41:15

I don't know what to say.

0:41:260:41:28

Why would you do that?

0:41:300:41:31

Get out!

0:41:310:41:33

SIREN WAILS

0:41:430:41:45

Here he is, the hero of the hour.

0:41:480:41:51

Got you a coffee.

0:41:510:41:52

Thank you. I've just got to get you a woman now and...

0:41:520:41:56

I don't need your help.

0:41:560:41:57

I've conquered Resus - I can conquer that.

0:41:570:41:59

Big talk, I like it.

0:41:590:42:02

Going on a picnic?

0:42:020:42:03

They're for Teddy and his mum.

0:42:030:42:06

That's not what we do, Rash.

0:42:060:42:07

-Yeah, well, it'll help.

-Yeah, you did help.

0:42:070:42:10

Yeah, more needs to be done.

0:42:100:42:12

Well, that's the flipside, man.

0:42:120:42:14

OK, we make people better, but better for what?

0:42:140:42:18

Who knows?

0:42:180:42:19

Outside the ED is not our jurisdiction.

0:42:190:42:22

I don't know - I feel attached.

0:42:220:42:24

That was really intense and I finally did good.

0:42:240:42:27

Did you see the look on Teddy's face?

0:42:270:42:28

Well, all of that will make you a good doctor, but a screwed-up one.

0:42:280:42:32

Come on, there's only so much you can do,

0:42:320:42:34

because those Resus doors will open again and they'll keep on opening.

0:42:340:42:39

So what do I do with this lot?

0:42:390:42:41

That's up to you, Rash.

0:42:410:42:43

They'll be happy, but you'll be onto your next patient

0:42:430:42:46

before they've taken their first bite.

0:42:460:42:49

Can I get everyone's attention, please?

0:43:080:43:11

Thank you.

0:43:140:43:15

I would like all hands on deck just to try

0:43:170:43:19

and clear these corridors in the next hour or so,

0:43:190:43:22

but, as a way of thanking you, I'm looking at resuming

0:43:220:43:25

the standard locum policy, and hopefully all leave should be

0:43:250:43:31

approved as per the previous rota, starting next week.

0:43:310:43:34

What's brought all this on?

0:43:350:43:37

I am on your side, Robyn.

0:43:380:43:40

Always have been.

0:43:430:43:44

OK, thanks.

0:43:480:43:49

Heads up, readers.

0:43:550:43:57

This is the last you'll hear from me.

0:43:570:44:00

Don't all cry at once,

0:44:000:44:03

but I want to apologise for some of the stuff I've written.

0:44:030:44:06

It's not that I was wrong in trying to shed some light -

0:44:060:44:09

it's more that I hurt some of the people I was trying to help.

0:44:090:44:12

The ED is doing its best

0:44:140:44:17

and I mean its very best.

0:44:170:44:20

The struggle continues.

0:44:200:44:21

Over and out.

0:44:230:44:25

Ethan, thank you for not dobbing me in.

0:44:280:44:32

We need the staff.

0:44:330:44:35

What, and that's all?

0:44:370:44:39

That's what you were writing about, wasn't it?

0:44:410:44:44

Shortages and cutbacks.

0:44:440:44:46

I was listening.

0:44:460:44:48

I was doing it for all of us.

0:44:480:44:50

Somebody had to speak out.

0:44:500:44:52

You have no idea what a headache you've caused.

0:44:520:44:56

We are dying on our feet. They're crushing us, Ethan.

0:44:560:44:59

At least people know what we're going through now.

0:44:590:45:01

Do they? No, I...

0:45:010:45:05

I think tomorrow they'll just be reading about some pop star

0:45:050:45:08

or the best way to comb your eyelashes.

0:45:080:45:10

It wasn't meant to hurt you.

0:45:120:45:13

I looked you dead in the eye and I asked if it was you,

0:45:130:45:16

and I believed you.

0:45:160:45:17

I even asked for your help.

0:45:170:45:19

I know, and I'm sorry.

0:45:190:45:20

But you've done your little investigation,

0:45:210:45:23

-and it's over now, so...

-That is not that point.

0:45:230:45:26

I...

0:45:260:45:28

It's like I didn't matter to you.

0:45:340:45:35

I was clearly struggling.

0:45:400:45:41

I was losing friends.

0:45:430:45:44

And you didn't care.

0:45:460:45:48

We weren't exactly bosom buddies when it started.

0:45:490:45:53

You even tried to make me feel bad for daring to think it was you.

0:45:530:45:57

That's cold, Alicia.

0:45:590:46:00

-It's mean.

-Look, it wasn't easy to lie, but I had to.

0:46:020:46:07

We are having a nightmare in this ED,

0:46:070:46:08

and that is where my head was at...and my heart.

0:46:080:46:15

I've got to ask...

0:46:190:46:20

Was it because you still...like me?

0:46:220:46:25

Like you?

0:46:270:46:28

Yeah, you didn't dob me in - is that the reason?

0:46:300:46:34

Only I would like to talk about that.

0:46:340:46:36

Are you joking?

0:46:440:46:45

I couldn't like you less.

0:46:480:46:50

The only reason I didn't tell Jac Naylor it was you

0:46:530:46:55

is because I'm a decent person. But you're not.

0:46:550:46:59

You're not, Alicia.

0:46:590:47:00

You played Cal, you played me...

0:47:010:47:04

You're not good to be around.

0:47:070:47:09

-Ethan...

-It's Dr Hardy and that is all I'll ever be to you.

0:47:090:47:13

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