Episode 27 Casualty

Heads of department meet, your first?

-It's that obvious, is it?

-Yes.

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

-Can we have a bed now?

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

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

-HE RETCHES

-I'm so sorry.

-No, no, no.

-What?

-Rash!

Multi organ failure.

If we'd got him in here earlier sooner,

this would never have happened.

-What?

-You're cancelling leave?

We've overspent.

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

I'm your boss, OK?

So, whatever happens outside,

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

-LIFT CHIMES

-Doors opening. Lift going down...

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

Seriously.

It could have been avoided but down in the ED,

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

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

-LIFT CHIMES

-Doors opening.

The idiots have cancelled all locums for the foreseeable future.

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

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

and see that your medic has fallen asleep,

try not to panic...too much.

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

-Step aside, please.

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

I'll be the judge of that.

-MACHINE BEEPS

-Right, how much blood has he had?

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

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

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

I'm doing my best.

Your best? Only losers talk about doing their best.

Your time's up, Dr Hardy.

I'm not a computer hacker.

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

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

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

She can't sack me for that.

You run the ED. The blogger clearly works here.

Someone - namely you - will be held responsible,

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

before it ends you.

MACHINE BEEPS

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

Let's form an orderly queue...

I can't even read this.

It looks like it says "Sorry Bowel" -

that's not a name.

That definitely says "Bowel."

Right, OK, erm...

Mr Bowel?

Mr Bowel? Anybody?

See, this is the tired handwriting of somebody

who's been working all the hours.

-IN AMERICAN ACCENT:

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

and make this hospital great again!

You really need a holiday, David.

Yeah, but I was just...

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

PHONE RINGS

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

They want the keys back by 11.

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

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

Do you have to speak with your mouth full?

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

Grab my bags, doofus.

Guys, have you seen this?

"The ED has had a stroke."

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

But true.

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

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

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

I think it's poetic.

What, it rhymes?

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

Something to tell us, Rash?

ETHAN CLEARS HIS THROAT

Can I get everyone's attention, please?

Everyone? Thanks. A few things...

Dr Kinsella, I'd like you on minors.

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

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

OK. That's my call.

Do you feel ready, Dr Masum?

Yeah, yeah, I'm ready.

Good.

Sister Duffin, could you chase Radiology for

the CT reports in cubicle five?

Jacob, could you finish your statements for

the outstanding complaints on your desk, please?

Why is everybody complaining about my desk?

-No...

-It's a joke, Ethan.

Yeah, sorry, right...

I got it.

Yes, very good.

Now, finally, this blogger...

Guilty as charged.

It's not me, I promise.

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

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

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

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

What if they don't?

They will.

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

-AS LIAM NEESON:

-I will find you and I will kill you.

THEY CHUCKLE

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

signing their leaving card, Dr Kinsella.

Alicia, can I have a word, please?

-What, now?

-Yes.

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

Can they do that?

I don't know.

Bye, Rash. It was lovely working with you.

SHE GRUNTS

KACEY LAUGHS

Again! Do it again!

This has got to go on the fan page.

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

Did you ever see that film?

Cal used to watch it all the time.

Yeah, I watched it with him once.

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

So that's me, the idiot.

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

Is it you?

Excuse me?

Is it you? Yes or no?

No!

And that is a no with a big exclamation mark.

You'd really think that of me?

ETHAN SIGHS No.

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

I need your help.

OK, I'm not exactly popular right now,

but if you could do some friendly digging...

You must think a lot of me

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

I need to close this down today.

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

So that's where we are, is it?

Same as when I walked in here.

Oh, go on!

-Oh, shut up!

-Go on, you...

ENGINE RUMBLES

-SHE GIGGLES

-Bea...

-SIREN WAILS

-Were you meditating?

No.

Crying inwardly?

No...

I can swap.

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

he'll never know.

No, this day had to come sometime.

-I know what caused that.

-Caused what?

-The blindness.

-I'm not blind.

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

What? No, you're...

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

You seriously need to break your duck, OK?

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

And just so you know, Resus is that way.

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

The whole of Resus? I will do it.

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

Good. You're talking. Keep going.

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

That's the job, Rash.

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

What if I make a mistake?

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

against the door looking in,

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

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

Some patients aren't going to make it out.

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

Yeah, and it's terrifying.

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

I should have just got an office job.

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

Not a salesman or a clerk - a doctor.

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

and fill your pants.

Either way is messy.

Steady. Don't damage the goods.

You're fine.

You're down. You're safe.

Still walking perfection...

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

Want to go again?

Give me five.

Did Nadia Comaneci take five?

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

Wow. It actually talks sense.

Love you too, sis.

One, two, three.

RATTLING

RATTLING

RATTLING

Kacey, wait!

DONNA GRUNTS

BONE SNAPS

KACEY SCREAMS

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

-Thank you, doctor.

-Charlie...

-Yeah?

Last week, do you remember there was an elderly gentleman

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

Yeah, give me a minute.

It was a famous name...

Nicholson!

-Jack Nicholson, that was it.

-Yeah.

I didn't even get his autograph.

Why are you asking?

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

What's this about?

It's for a report.

Well, have there been complaints?

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

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

Yeah.

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

Yes, I will.

Ethan, what's this really about?

ETHAN SIGHS It's...

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

"when I had to explain to this fragile young woman

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

Ouch.

Yeah.

I think it might have been Nelson?

Or Nilsen?

Thank you.

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

Kacey, I'm Sam.

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

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

-DONNA GROANS

-Oh, hold that thought.

We'll come back to that.

OK, I'm looking at a dislocated jaw.

Iain, have you got the oxygen?

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

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

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

Are you on any medication?

-There we go.

-How bad is this?

I can't really say at this time.

-KACEY WHIMPERS

-Kacey? Kacey! Kacey, stay with me!

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

Check her pedal pulse.

Yeah, there's no pulse.

I think the fracture's compressing the artery.

It needs manipulating.

Well, that's your call.

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

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

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

Absolutely. She's going to need it.

OK. Right, morphine going in...

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

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

Yeah, that's in.

Nice and steady.

KACEY SCREAMS

KACEY HOWLS IN PAIN, DONNA SOBS

Well done, Kacey. Really well done.

-Yeah, I've got a pulse.

-OK, keep some pressure on it.

I'll grab the splint. Hold on.

Power corrupts, Robyn, but absolute power absolutely corrupts.

You want to write fridge magnets, mate.

I've probably missed that boat now.

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

I'll do my best.

No, I need it done, OK?

Only losers talk about doing their best.

A bit harsh.

And it's "absolute power corrupts absolutely."

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

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

will they?

PHONE RINGS

Emergency services...

DOOR OPENS

-Cheers, lads.

-You want this one?

Or the other one?

Deep breaths. Remember your training.

Don't wet yourself.

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

Good choice. Fractured dislocation of the ankle.

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

Doctor?

HE GULPS

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

if that's how the F1s are behaving.

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

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

Could you cover Resus? OK?

You might make it in time for the handover.

This blog's clearly getting to Ethan.

Must be a lot of stress.

Do you agree with her, then?

Her?

Or him.

Kacey Moffat, 19.

She's sustained an open fracture to her left ankle

at 9:40 this morning...

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

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

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

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

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

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

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

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

and see what numbers are on it, yeah?

Hey, I thought you were in Resus today.

Er, yes, a change of plan.

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

I'm Dr Masum.

The Child Welfare Officer's outside.

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

Maybe in a minute.

OK, erm...

So, you called the police.

Can I ask why?

They said you were shivering when they found you.

Have you been out all night?

Partying?

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

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

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

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

while David here puts some stickers on your tummy.

-Is that OK?

-Yeah? All right.

Great. Deep breath...

Good man. And one more.

OK, great.

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

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

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

which was very good thinking, by the way,

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

Maybe you could just point to where it hurts.

Your heart hurts?

David, how are his obs?

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

They're spot on.

OK, got your X-rays back,

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

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

Get the fentanyl, Charlie.

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

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

Now, this is going to be a bit weird,

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

Not every day you hear that.

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

and your first reaction will be to bite me.

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

But if you could be brave for me...

OK, look at me.

Now, just try and think happy thoughts...

-Impossible, I know...

-DONNA GROANS

BEA GROANS

OK. Can you get on to Maxfax?

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

We'll monitor you for a few hours.

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

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

but, all told, not too bad.

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

Ow...

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

I've been training since I could walk,

and that stupid great lump...

I'll never forgive her.

Never.

LIFT CHIMES

Heads up, here comes Dr Von Doom.

Yeah? Watch this.

Noel, any progress on the notes I asked for?

Sorry. Computer's had a stroke.

-Is that a joke?

-She laughed.

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

Do you understand?

-NOEL SIGHS

-Where do people go, eh, Robyn?

He used to be such a decent bloke.

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

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

Oh. Computer says yes.

Ta-dah!

Warmer?

Teddy!

Cheese sandwich. The finest money can buy.

When was the last time you ate?

DAVID CLEARS HIS THROAT

Social services found a number for his mum on his mobile

but it went straight to voicemail.

They try his dad.

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

-RASH SIGHS

-OK, erm...

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

you didn't say why you had called.

You just said that you were frightened and lost.

OK, Teddy, here's the deal -

I'll swap you this muffin for you telling us

everything we need to know.

David, what are you doing?

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

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

You know where she is?

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

Just cubicle one, please, guys. Thank you.

OK, I have looked at your results,

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

-Kace...

-Nice one.

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

We still need to wait for the orthopaedic consultant

to come down and have a word.

I should have kicked you harder.

She will get better, won't she?

Erm...

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

I can't really promise anything at this stage.

Come on, Teddy, mate, talk to us.

Was your mum not around last night?

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

OK, you started calling her at 4pm -

was that when you came home from school?

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

-Did you go out looking for her?

-And you got lost? Is that it?

And that's why it hurts here?

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

Teddy, the police are here,

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

-Teddy?

-Mum?

-What are you doing here?

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

-What?

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

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

-We're still warming him up.

-Exactly.

-Oh.

Is that what this thing is?

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

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

-David...

-He's got a mouth on him.

-I'm just saying.

Teddy was very cold when we found him,

but we've managed to get him stable.

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

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

Can I ask you a question, please?

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

Do you have a phone charger?

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

-David, do you mind...?

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

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

SIM-only, if you can. Yeah.

Butterfingers.

See that, Teddy? Got me all flustered.

Are you all right?

Yeah, I am now.

Hi. The consultant's on his way down.

I'm so sorry about your wait.

Hear that, Donna? A consultant.

You should be in theatre within the hour.

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

that I run through some questions with you.

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

Sorry to interrupt. Can I borrow you, please?

Sorry, I won't be a sec.

What was it, Donna?

Me taking that photo?

I wasn't really going to put it online.

Do you think I'd do that to you?

I... I don't understand.

Come on, you know the golden rule -

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

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

Why today, Donna?

I thought the frame was coming loose.

You said to go again.

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

I didn't do anything...

Well, I don't have them any more.

You've got to be happy about that.

We can be the same now, you and me -

nobodies.

You're not my sister,

not any...

KACEY GULPS Kacey?

Kacey! Somebody, please!

Ah! Oh, no!

OK, can we get her on her side,

and can we get suction, please?

Are you OK? Let me have a look.

SUCTION HISSES

Donna, has your sister had a seizure before?

DONNA WHIMPERS

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

All right. No, she hasn't.

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

That was very helpful, OK?

Your sister's lucky to have you.

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

One charger.

Why were you out there, sweetheart?

I was coming home. I was...

You've got to stay put for Mummy.

I went to your shop, where you work.

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

I'm working in another shop.

I phoned you.

It was off. Shop rules.

Long shift, was it?

It was still off at 11 last night.

When can we get going?

I'm still a little worried about Teddy.

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

Have you got any more of these going free?

Erm... David, do you mind?

Are you serious?

Yeah.

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

I won't be a minute, love.

Two seconds, please. I promise you.

Teddy, I'll be right back, mate.

Dr Hardy!

Those notes - it was Miss Neeson, not Nelson.

That's why it took so long.

There you go.

Thank you.

Mrs Badir!

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

Yeah, but this case came in.

You said you were ready? OK?

What am I meant to tell HR, hmm?

I'm sorry. Excuse me, Dr Hardy.

Unbelievable.

ETHAN SIGHS

Of course.

What is it?

No. That can't be right...

It's basic psychology, isn't it?

Can't do their own job properly,

so complain about everybody else doing theirs.

That doesn't necessarily mean...

That's exactly what it means.

Right...

Mrs Badir?

Nadia?

-Nadia, can you hear me?

-Mum?

-Nadia...

-Mum! Wake up!

-Nadia, can you hear me?

-Mum, wake up!

Erm...

Can you do something for me?

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

You just have to run in,

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

I don't want to leave your mum.

Me neither.

Teddy, you see these?

Now, they're plastic or glass or something.

Now, I wear them because they make me feel

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

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

but maybe if you wear them...

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

Look at that.

They're working already. Yeah?

Good. Go. Just go!

MACHINE CHIMES

How's that OP coming, Duffy?

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

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

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

-It's not advancing.

-Yeah, OK, just keep trying.

-Yeah.

This is looking like status epilepticus.

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

Oh.

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

and try the other nostril, please.

MACHINE HISSES

There we go.

Just keep that on for me, OK?

Has your sister ever had seizures before?

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

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

-Yeah.

Right, let's get that lorazepam in,

and can I have the phenytoin infusion

at 20mg per kilo, just in case?

Should we maybe think about getting a consultant in?

No, there's no time.

-Where's Kacey's bag?

-Not now, please.

I think she might be taking something.

Donna...

MACHINE CHIMES

Could it be these?

KACEY SPLUTTERS

I don't know what they are.

They're steroids!

She's got extensive hyperpigmentation

in her flexor creases and she's severely tachycardic.

Can we start her on 150ml of 3% saline

and keep her airway clear, please, Duffy?

I'll order an endocrinology review,

and can we send off a random cortisol, please?

Will she be all right?

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

What do you mean?

She could've had this fit somewhere else.

We might not have got to her in time.

There, she's stabilising.

ALICIA SIGHS

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

To be honest, the reaction to the steroids aside,

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

caused her bones to weaken.

She thinks it was my fault.

I mean, it's a bad fracture,

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

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

Do you want to come and sit with her?

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

DOOR BANGS

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

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

-OK.

-Come on, Rash.

Rash?

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

But you're a doctor.

-I can take it from here.

-Are you sure about that?

-I can do it, Jacob.

-OK.

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

OK, she's got a broad complex tachycardia

and is haemodynamically compromised.

That looks like polymorphic VT on the monitor,

and she was displaying signs of paraesthesia earlier,

so I'm confident this is hypokalaemia secondary to

an electrolyte deficiency resulting from malnutrition.

She needs cardioversion.

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

-All right.

OK.

-DEFIBRILLATOR HUMS

-Oxygen away. Stand clear.

-Clear.

-And shocking...

DEFIBRILLATOR THUMPS

-Try again?

-Yeah.

I'm going to go to 150.

-Oxygen away. Stand clear.

-DEFIBRILLATOR HUMS

Clear.

Shocking again...

DEFIBRILLATOR THUMPS

MACHINE CHIMES

Jacob, talk to me, please.

She's back in sinus rhythm.

OK, erm, good.

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

and a thyroid function, as quick as we can?

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

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

On it. Nice work.

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

and her corrected QT has normalised.

You animal, you've smashed it.

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

MACHINE BEEPS STEADILY

So this is what Resus feels like.

Is he wearing your glasses?

They're not mine.

You are a monster, Rash Masum!

HE CHUCKLES

All right...

Alicia, she's coming round.

Hi, Kacey. How are you feeling?

What happened?

I was talking to Donna and then...

You had a seizure, thanks to these.

Donna found them.

And just in the nick of time, as well.

It was that close?

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

Where is the doofus, then?

What? Skulked off, has she?

She has, actually, yeah.

Not for real, though.

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

She's teasing.

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

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

She's not leaving me now.

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

KNOCK AT DOOR

There you go.

Thank you.

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

Yeah, sure, no problem.

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

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

Two things - both take less than a minute each.

You do them, then.

This is very important, OK?

I know who the blogger is.

Oh...

You're the boss.

Thank you.

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

Now, please.

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

She knows what you did for her.

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

Yeah, and how many people can say that?

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

..it's over for me too.

And I need to maybe...

Start thinking about yourself?

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

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

-No.

-THEY LAUGH

Look after yourself.

Miss Naylor, please.

Yeah, well, when Miss Naylor has a moment,

Dr Hardy would like to see her. Thank you.

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

He knows who the blogger is.

And?

He also wants to see Dr Masum too.

Where are my bags?

Is this what you're looking for?

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

would need to use a foodbank.

Pass my bag.

I carry this bag with me

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

NADIA SOBS

I got another job, minimum wage.

I'm working days as well as nights now,

but I still have to take hand-outs.

I take enough to feed Teddy and no more.

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

But you're not all right, Nadia.

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

And if I am, how do we survive?

How do we do that?

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

Sorry, Dr Masum.

Dr Hardy wants to see you.

Yeah, when I get a moment.

That moment's now.

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

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

OK, thanks.

SHE KNOCKS ON DOOR

Hi. Have you got a minute?

I'm about to have a meeting, actually.

Yes, I am the meeting.

How do you mean?

You can't go after Rash.

How did you know it was him?

Noel's been playing detective.

HE CHUCKLES

Yeah, of course.

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

Clever. Wrong person, though.

Sorry?

You asked me to do some digging.

Which you refused, yeah.

Because I didn't need to.

I know who the blogger is, Ethan,

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

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

DOOR OPENS

I usually spend my lunch break avoiding all human contact,

so this had better be good.

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

But I've found the blogger.

Well, you hide that bruising bitterness well.

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

Wait, it's...

Dr Munroe, she...

She helped me work it out.

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

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

And you know this because...?

Because I gave them an ultimatum.

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

The name, Ethan.

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

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

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

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

It's over.

How did you work it out?

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

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

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

It definitely has.

I don't know what to say.

Why would you do that?

Get out!

SIREN WAILS

Here he is, the hero of the hour.

Got you a coffee.

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

I don't need your help.

I've conquered Resus - I can conquer that.

Big talk, I like it.

Going on a picnic?

They're for Teddy and his mum.

That's not what we do, Rash.

-Yeah, well, it'll help.

-Yeah, you did help.

Yeah, more needs to be done.

Well, that's the flipside, man.

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

Who knows?

Outside the ED is not our jurisdiction.

I don't know - I feel attached.

That was really intense and I finally did good.

Did you see the look on Teddy's face?

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

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

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

So what do I do with this lot?

That's up to you, Rash.

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

before they've taken their first bite.

Can I get everyone's attention, please?

Thank you.

I would like all hands on deck just to try

and clear these corridors in the next hour or so,

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

the standard locum policy, and hopefully all leave should be

approved as per the previous rota, starting next week.

What's brought all this on?

I am on your side, Robyn.

Always have been.

OK, thanks.

Heads up, readers.

This is the last you'll hear from me.

Don't all cry at once,

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

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

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

The ED is doing its best

and I mean its very best.

The struggle continues.

Over and out.

Ethan, thank you for not dobbing me in.

We need the staff.

What, and that's all?

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

Shortages and cutbacks.

I was listening.

I was doing it for all of us.

Somebody had to speak out.

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

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

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

Do they? No, I...

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

or the best way to comb your eyelashes.

It wasn't meant to hurt you.

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

and I believed you.

I even asked for your help.

I know, and I'm sorry.

But you've done your little investigation,

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

-That is not that point.

I...

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

I was clearly struggling.

I was losing friends.

And you didn't care.

We weren't exactly bosom buddies when it started.

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

That's cold, Alicia.

-It's mean.

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

We are having a nightmare in this ED,

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

I've got to ask...

Was it because you still...like me?

Like you?

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

Only I would like to talk about that.

Are you joking?

I couldn't like you less.

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

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

You're not, Alicia.

You played Cal, you played me...

You're not good to be around.

-Ethan...

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