Episode 28

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0:00:02 > 0:00:04The NHS has its faults, but I just thought after today you would

0:00:04 > 0:00:06see the commitment that I make to it.

0:00:06 > 0:00:08Which is why I've decided to recommend you

0:00:08 > 0:00:09- for a major trauma course.- Oh.

0:00:09 > 0:00:10You're new, right?

0:00:10 > 0:00:12I am.

0:00:12 > 0:00:14- Gem.- Rash.

0:00:14 > 0:00:17Before you hang the wrong person, you need to know that...

0:00:17 > 0:00:20I was mentoring him on the cases that were blogged about.

0:00:21 > 0:00:23I can take it from here.

0:00:23 > 0:00:25- Oxygen away, stand clear. - Clear.- Shocking.

0:00:27 > 0:00:28She's back in sinus rhythm.

0:00:28 > 0:00:30You animal, you smashed it.

0:00:30 > 0:00:34You didn't dob me in, was it because you still like me?

0:00:34 > 0:00:35I couldn't like you less.

0:00:35 > 0:00:38- Ethan...- It's Dr Hardy, and that is all I'll ever be to you.

0:02:48 > 0:02:51Get off me! I said get off me!

0:02:53 > 0:02:56Get off me! He jumped on me! He jumped me from behind.

0:02:56 > 0:02:58Right, can we have him restrained a bit more, please?

0:03:01 > 0:03:03Don't touch him.

0:03:04 > 0:03:07- Calm down for me, mate. - Electric's off, yeah?

0:03:07 > 0:03:10Right, let's see what we've got.

0:03:10 > 0:03:12Right, let's get a better look at you.

0:03:12 > 0:03:14That's a bit forward, innit?

0:03:14 > 0:03:16At least buy me a pint first.

0:03:16 > 0:03:19Resps 20, but shallow. I've got a pulse, but it's irregular.

0:03:19 > 0:03:21I'm worried he's got an arrhythmia.

0:03:21 > 0:03:23Can we get the pads on just in case?

0:03:23 > 0:03:25Blade is still in the wound.

0:03:25 > 0:03:28Right, there's our entry point.

0:03:28 > 0:03:30He's going to need proper medical attention,

0:03:30 > 0:03:31we need to get him to the hospital as well.

0:03:31 > 0:03:34Exit wound is in his left thoracic region.

0:03:34 > 0:03:36- Can you tell me what happened? - He went for me from behind.

0:03:36 > 0:03:38I fell on it.

0:03:38 > 0:03:40Right, and what about your wrist?

0:03:42 > 0:03:44Must have been from when I fell.

0:03:44 > 0:03:46I'm going to get a tourniquet on your leg.

0:03:46 > 0:03:48- Sam... - BEEPING

0:03:48 > 0:03:49..he's arrested.

0:03:56 > 0:03:58Come on! Keep up!

0:04:05 > 0:04:09So, now you have finally made it into resus without throwing up,

0:04:09 > 0:04:12there must be someone in this building you want to impress.

0:04:12 > 0:04:14I mean, it's not like you have standards.

0:04:14 > 0:04:16If I wasn't so tired, I'd be offended.

0:04:18 > 0:04:19What about Gem?

0:04:19 > 0:04:22Gem? No! Stop with this, will you?

0:04:22 > 0:04:24Why, did she say something?

0:04:24 > 0:04:25Come on. Race you!

0:04:29 > 0:04:31Hey, Gem. Rash has something he wants to ask you.

0:04:31 > 0:04:33See you inside.

0:04:33 > 0:04:36I hope you're going to have a shower before your shift, Dr Masum?

0:04:36 > 0:04:37Don't be late.

0:04:39 > 0:04:41So impressed right now.

0:04:44 > 0:04:46Yeah. Cool. I'll see you.

0:04:49 > 0:04:50He's in VF.

0:04:51 > 0:04:52We need to shock.

0:04:54 > 0:04:57- Is that a pacemaker? - We've got to shock anyway.

0:04:58 > 0:05:01Right. Fully charged, everyone clear?

0:05:01 > 0:05:02- Clear.- Shocking.

0:05:05 > 0:05:06There's no output.

0:05:06 > 0:05:09- Is he alive?- Right, let's secure his airway with an i-gel.

0:05:14 > 0:05:16If we need the adrenaline, have we got it?

0:05:16 > 0:05:17Yeah, it's in the bag.

0:05:19 > 0:05:20OK.

0:05:28 > 0:05:30Yeah, we're in, we're secure.

0:05:30 > 0:05:32He's still in VF, we need to shock again.

0:05:34 > 0:05:36Charging up.

0:05:37 > 0:05:38Everyone clear?

0:05:38 > 0:05:39Clear.

0:05:39 > 0:05:40Shocking.

0:05:42 > 0:05:44- RADIO:- 3006, 3007 arriving...

0:05:44 > 0:05:46I've got a weak pulse.

0:05:46 > 0:05:47Second unit have just arrived.

0:05:49 > 0:05:51- Get back on him.- Well done.- Yeah.

0:05:55 > 0:05:58INMATES JEER AND SHOUT INSULTS

0:06:06 > 0:06:09I'm going to break your legs when you get back here!

0:06:14 > 0:06:16What you looking at?!

0:06:16 > 0:06:19I've made real progress. I've finally pushed through resus

0:06:19 > 0:06:22and now I've been dealing with just bumps and grazes ever since.

0:06:22 > 0:06:24I thought I'd proved myself.

0:06:24 > 0:06:26Come on, I want a slice of the action.

0:06:26 > 0:06:28All right, Bruce Willis, I hear what you're saying.

0:06:28 > 0:06:31There's actually an ambulance heading here now from prison.

0:06:31 > 0:06:33One of the traumas is an inmate.

0:06:33 > 0:06:34Good enough?

0:06:35 > 0:06:37- Prison?- Mmm.

0:06:38 > 0:06:40Well, do you want it or not?

0:06:40 > 0:06:42- Yeah, yeah, I do.- All right, cool.

0:06:42 > 0:06:45Do me a favour, find Dr Hardy, give him that.

0:06:45 > 0:06:46I'll meet you at the main entrance.

0:06:50 > 0:06:52I don't suppose you did me one?

0:06:52 > 0:06:54Two sugars, I believe.

0:06:55 > 0:06:57Now that is what a hero looks like.

0:06:57 > 0:06:59- Hide.- Munroe.

0:07:01 > 0:07:03Oh, there you are.

0:07:03 > 0:07:04Ethan!

0:07:06 > 0:07:07Dr Hardy...

0:07:07 > 0:07:09Two seconds. What is it?

0:07:11 > 0:07:14Well, I've just barely seen you all week.

0:07:16 > 0:07:17I know. Yeah.

0:07:19 > 0:07:20I don't want it to be like this.

0:07:21 > 0:07:23I messed up!

0:07:25 > 0:07:28I don't know what else to say, apart from I'm sorry.

0:07:28 > 0:07:31What I wrote, I never intended you as the target.

0:07:34 > 0:07:35You humiliated me.

0:07:38 > 0:07:40And now you're upset because there's bad blood?

0:07:44 > 0:07:46Is there anything else? Because I'm a bit busy.

0:07:50 > 0:07:51Rash has got your X-rays.

0:07:52 > 0:07:53Right, thank you.

0:08:05 > 0:08:07Almost there.

0:08:07 > 0:08:09Lock up your nurses.

0:08:09 > 0:08:12Well, ours are called Charlie, Jacob and David.

0:08:15 > 0:08:17Once inside, you stay to the left of the trolley, so I can hand

0:08:17 > 0:08:21over to the doctors properly and we'll go straight through to resus.

0:08:26 > 0:08:28- This scar.- That's an old one.

0:08:28 > 0:08:31- Playground fight? - Not that old.

0:08:31 > 0:08:32It's from the Falklands.

0:08:32 > 0:08:34- Whoa, really?- Yeah.

0:08:35 > 0:08:37I'm sorry. These are for Dr Hardy.

0:08:37 > 0:08:39I'll take them. We're treating Frank together.

0:08:39 > 0:08:41Again?

0:08:42 > 0:08:44My Uncle was in the Royal Marines.

0:08:44 > 0:08:45He served there, too.

0:08:47 > 0:08:49- What?- Oh, nothing.

0:08:49 > 0:08:51Your accent, I just thought...

0:08:51 > 0:08:54Actually, my uncle was English, just like my mum.

0:08:55 > 0:08:57You were right to come in.

0:08:57 > 0:09:00You have a fractured dislocation of the shoulder...

0:09:00 > 0:09:03Hang on. There's a metal foreign body in here.

0:09:03 > 0:09:05It's a bullet.

0:09:05 > 0:09:07It's the one that took me out of action.

0:09:07 > 0:09:08Battle of Goose Green.

0:09:08 > 0:09:10- An actual bullet?- Yeah.

0:09:12 > 0:09:13Right, thank you.

0:09:16 > 0:09:17OK.

0:09:19 > 0:09:21Thank you, Dr Masum, I'm sure you have patients of your own

0:09:21 > 0:09:22to attend to.

0:09:22 > 0:09:25Yep, of course. Sorry.

0:09:25 > 0:09:27OK, Mr Tennant, orthopaedics are ready for you,

0:09:27 > 0:09:30so we're going to get you up there and back in shipshape, all right?

0:09:30 > 0:09:33- I will call a porter. - Actually, you can take him.

0:09:33 > 0:09:35- Would you excuse us for a moment? - Yeah.

0:09:37 > 0:09:39I've cleared it for you to spend this week in Orthopaedics.

0:09:39 > 0:09:41I thought it'd be a good experience for you.

0:09:41 > 0:09:42Before you thank me,

0:09:42 > 0:09:46the head of department there, Ms Alex Broadhurst,

0:09:46 > 0:09:48now she's one of the leading specialists.

0:09:48 > 0:09:50She's brilliant, she doesn't suffer fools

0:09:50 > 0:09:52and she's a real stickler for detail.

0:09:52 > 0:09:55I'm sure I'll get along just fine with Miss Broadhurst.

0:09:55 > 0:09:57- Ms.- Ms.- Yes.

0:09:58 > 0:10:02She also happens to teach at the International Trauma Course.

0:10:02 > 0:10:04OK? You haven't heard this from me,

0:10:04 > 0:10:07but she reserves the right to choose one trainee to go with her for free.

0:10:07 > 0:10:09So there is a space up for grabs.

0:10:10 > 0:10:11OK.

0:10:12 > 0:10:15- Thanks.- Please don't embarrass me.

0:10:15 > 0:10:16Yeah, yeah.

0:10:16 > 0:10:18Enjoy.

0:10:20 > 0:10:24Right, he's 19 and starred up, meaning that he's a young offender

0:10:24 > 0:10:28deemed too dangerous, so they moved him to adult prison.

0:10:28 > 0:10:30You sure you've got this?

0:10:30 > 0:10:31Yeah.

0:10:32 > 0:10:34- Noel, are we good?- Just one sec.

0:10:36 > 0:10:38- Yep, we're good.- What's going on?

0:10:38 > 0:10:41Some starred up prisoner and a prison guard have been injured.

0:10:41 > 0:10:44Starred up? You want my advice, don't give him an inch.

0:10:47 > 0:10:50OK, here we go, here we go.

0:10:50 > 0:10:51Rash, you take the stab wound, please.

0:10:53 > 0:10:55Iain, cubicle three, please.

0:11:00 > 0:11:02OK, through here, please.

0:11:09 > 0:11:10Ms Broadhurst?

0:11:12 > 0:11:13It's very simple.

0:11:13 > 0:11:16If it happens again, I'll have no choice but to assume you don't

0:11:16 > 0:11:19know your intergluteal cleft from your olecranon.

0:11:19 > 0:11:22I'll make sure the board assumes the same thing. OK?

0:11:22 > 0:11:24- So sorry for bothering you, I'm... - Dr Kinsella.

0:11:24 > 0:11:27F1 joining us from ED. Graduate of Swansea.

0:11:27 > 0:11:30Winner of the Contribution to Operations Support Award.

0:11:30 > 0:11:33- I know.- Well, the pleasure's all mine.- We'll see.

0:11:33 > 0:11:36And this must be Dr Edward McAllister.

0:11:36 > 0:11:38- Orthopaedic F1. - Eddie, please.

0:11:39 > 0:11:41Thanks so much for agreeing to us shadowing this week.

0:11:41 > 0:11:44And Dr Kinsella, was it?

0:11:44 > 0:11:46Great that they let you up from the coal-face.

0:11:46 > 0:11:48Oh, have you forgotten something?

0:11:48 > 0:11:51Ah, yes, your patient, Frank Tennant.

0:11:52 > 0:11:55Why don't you and Dr McAllister treat him together?

0:11:55 > 0:11:57One of you can assist in his operation.

0:11:57 > 0:11:59I'll see you on the ward.

0:12:01 > 0:12:04This'll be fun. I didn't realise there'd be competition.

0:12:04 > 0:12:05Oh, come on, don't be coy.

0:12:05 > 0:12:07The International Trauma Course?

0:12:07 > 0:12:08I wasn't being coy.

0:12:08 > 0:12:10I just don't see any competition.

0:12:13 > 0:12:14Everything all right?

0:12:15 > 0:12:17I have to share you.

0:12:18 > 0:12:21Right, this is Tony Hughs, 57 years old.

0:12:21 > 0:12:24At approximately 09:15, he suffered an electric shock

0:12:24 > 0:12:25from an industrial toaster.

0:12:26 > 0:12:29Initially unconscious. However, shortly after arrival,

0:12:29 > 0:12:32he went into VF arrest, OK? He's had two shocks before ROSC,

0:12:32 > 0:12:34he was in respiratory arrest, so he's been ventilated

0:12:34 > 0:12:35and intubated since.

0:12:35 > 0:12:37Entry wound is his right hand.

0:12:37 > 0:12:40Exit, left thoracic region.

0:12:40 > 0:12:42Right, OK, let's get some bloods off then, please.

0:12:42 > 0:12:46Check his FBC, U&Es, CK and clotting.

0:12:46 > 0:12:47Let's repeat the 12 lead, yeah?

0:12:47 > 0:12:49Just one more thing, I think he's got a pacemaker,

0:12:49 > 0:12:52- but that's unconfirmed.- Oh, right, OK. Duffy, let's get a technician

0:12:52 > 0:12:55down here from the cardiac department, soon as we can, please.

0:12:55 > 0:12:57Sure. I'll contact burns and plastics to let them know about him.

0:12:57 > 0:12:59OK, your heart rate's up.

0:12:59 > 0:13:01Yeah, well...

0:13:01 > 0:13:03I know what they say about prison,

0:13:03 > 0:13:06but it's not every day another bloke tears my trousers off.

0:13:14 > 0:13:17- OK.- Right, Jack, any numbness?

0:13:17 > 0:13:19Nah.

0:13:19 > 0:13:22- Can you feel this? - Go easy, mate.

0:13:22 > 0:13:24What you going to do, then? Are you going to cut it out?

0:13:26 > 0:13:29Well, we have to see if it's involved a bone first.

0:13:29 > 0:13:31Do you want to tell me how it happened?

0:13:31 > 0:13:32Not especially.

0:13:33 > 0:13:35Surprise, surprise.

0:13:35 > 0:13:37I was just cleaning up after breakfast.

0:13:37 > 0:13:38He's jumped on me from behind.

0:13:38 > 0:13:40I don't know why.

0:13:40 > 0:13:42All I done was push him off.

0:13:43 > 0:13:46What, you don't believe me...?

0:13:46 > 0:13:47Honestly? No.

0:13:55 > 0:13:58Oh! Sorry, mate! You all right?

0:13:58 > 0:14:00Honestly, that was just a reflex.

0:14:00 > 0:14:02Yeah, I'm OK. We'll do an X-ray to work out exactly what we're

0:14:02 > 0:14:04dealing with here. Excuse me.

0:14:10 > 0:14:13The shoulder is made up of a ball and socket joint.

0:14:13 > 0:14:16So the head of your humerus, the ball, has come out of the socket.

0:14:16 > 0:14:18Not only that, but the shaft has been fractured.

0:14:18 > 0:14:22So the operation will be to put the ball back in the socket

0:14:22 > 0:14:24and to stabilise the fracture using a plate and screws.

0:14:24 > 0:14:27Sounds scary, but it's all pretty much straightforward.

0:14:27 > 0:14:29Yeah, yeah, but it says here the operation includes

0:14:29 > 0:14:30the removal of the bullet.

0:14:30 > 0:14:32- Yes, that is right.- No, it's not.

0:14:32 > 0:14:34I don't want that.

0:14:35 > 0:14:37I thought you would want it removed.

0:14:37 > 0:14:39I've lived with that bullet for 36 years.

0:14:39 > 0:14:41It's part of me now.

0:14:41 > 0:14:44But purely on medical terms, I mean, with the fresh damage,

0:14:44 > 0:14:46it could inhibit our ability to set the plates,

0:14:46 > 0:14:48or your flexibility after the operation.

0:14:48 > 0:14:51Well, hang on, that's not strictly true, is it?

0:14:51 > 0:14:54Not strictly speaking, no.

0:14:54 > 0:14:57If Frank doesn't want it removed...

0:14:57 > 0:14:59I mean, the man's risked his life for ours, it's his choice.

0:14:59 > 0:15:00Thank you.

0:15:01 > 0:15:03It's not a problem.

0:15:03 > 0:15:06Dr Kinsella, please rework the consent form.

0:15:06 > 0:15:08Dr McAllister, you will assist in theatre.

0:15:13 > 0:15:15OK, so his pacemaker's all right, then.

0:15:15 > 0:15:17That's good, thank you very much.

0:15:17 > 0:15:20Right. OK, can we book him a head CT, please,

0:15:20 > 0:15:22- and arrange a bed on ITU?- Sure.

0:15:23 > 0:15:26Dr Masum here has had an...

0:15:26 > 0:15:28altercation with our prisoner patient.

0:15:30 > 0:15:34I can't find Dr Hardy, so I was wondering whether you'd be willing

0:15:34 > 0:15:36to take over the treatment, then Dr Masum...

0:15:36 > 0:15:37Oh, right, OK.

0:15:37 > 0:15:39What? Actually, no need.

0:15:39 > 0:15:42Spare me the boring details. I wish I got to choose my patients.

0:15:42 > 0:15:44- Colleagues too, for that matter. - Thank you.

0:15:44 > 0:15:46Duffy, can we give him some saline, please?

0:15:46 > 0:15:49Can we chase up the bloods and keep an eye on his potassium levels?

0:15:49 > 0:15:51Thank you for this.

0:15:52 > 0:15:55He needs a urinary catheter inserting, as well,

0:15:55 > 0:15:57so you can do that.

0:16:01 > 0:16:02Thanks.

0:16:02 > 0:16:04Right, this is you.

0:16:04 > 0:16:06Doctor'll be in shortly.

0:16:06 > 0:16:08Play nice, he might even get you a cup of tea.

0:16:08 > 0:16:12You reckon, yeah? Hot drinks and me don't really go that well together.

0:16:12 > 0:16:14Ask old Keith here. He's got the scars.

0:16:15 > 0:16:18Well, I can promise you the bed's more comfy than you're used to.

0:16:18 > 0:16:20And you'd know, yeah? Listen, give me a break.

0:16:20 > 0:16:24I did some time in Featherfields, so, yeah, I would know.

0:16:24 > 0:16:26Featherfields? What for?

0:16:27 > 0:16:29Stole a car. Someone got injured.

0:16:29 > 0:16:31Ancient history now.

0:16:31 > 0:16:33What about you?

0:16:33 > 0:16:35I was into my cars too for a bit.

0:16:35 > 0:16:38But I was put away for violent robbery and assault.

0:16:38 > 0:16:41What, that's supposed to impress me?

0:16:41 > 0:16:42It weren't like that.

0:16:44 > 0:16:46I was just a dumb kid.

0:16:46 > 0:16:47I was sleeping on the streets.

0:16:47 > 0:16:50I ended up breaking into this house for a bit of cash.

0:16:50 > 0:16:52I didn't know the owner was still in.

0:16:52 > 0:16:54They fell down the stairs.

0:16:54 > 0:16:56Not fun, is it, inside?

0:16:57 > 0:16:59Free food, free board.

0:16:59 > 0:17:01Can't be that bad.

0:17:01 > 0:17:03Even now? Adult prison?

0:17:05 > 0:17:06Easiest time I ever did.

0:17:09 > 0:17:11Do they let you have visitors?

0:17:11 > 0:17:13Who?! Nobody gives a monkeys about me.

0:17:14 > 0:17:15Why, are you offering?

0:17:18 > 0:17:20What, so you mean you don't speak to anyone?

0:17:21 > 0:17:24Well, my Uncle Phil, but...

0:17:25 > 0:17:28..he's in some old people's home now, so...

0:17:28 > 0:17:30I just keep myself to myself. Safer that way.

0:17:31 > 0:17:33From the other prisoners?

0:17:33 > 0:17:34From everyone.

0:17:36 > 0:17:37What do you mean?

0:17:39 > 0:17:42Prisoners aren't the only ones inside, are they?

0:17:44 > 0:17:46Do you mean that other guard?

0:17:46 > 0:17:48Hello, Mr MacLellan.

0:17:50 > 0:17:51My name's Dr Keogh.

0:17:51 > 0:17:53What happened to the other one?

0:17:53 > 0:17:58I've no idea. Now, the good news is that the stab wound,

0:17:58 > 0:18:00the blade hasn't involved the bone.

0:18:00 > 0:18:03So I'm going to send you for a CT and angiogram just to make sure

0:18:03 > 0:18:04the artery...

0:18:04 > 0:18:07Can't we just cut out all this foreplay, just pull it out?

0:18:07 > 0:18:10Yeah, if you enjoy the idea of bleeding to death.

0:18:10 > 0:18:14No? OK, well, in the meantime, shall we have a look at this

0:18:14 > 0:18:16other wound, yeah?

0:18:18 > 0:18:22Right, OK, well, that needs cleaning and closing.

0:18:22 > 0:18:24Not sure why that's not been done. I'll do that.

0:18:24 > 0:18:26- How did you get this? - When I slipped.

0:18:27 > 0:18:29Right. And these other bruises?

0:18:29 > 0:18:31Forget it, yeah? It's old news.

0:18:33 > 0:18:34OK, fair enough.

0:18:37 > 0:18:40Come closer, Dr Kinsella, you're missing all the fun.

0:18:40 > 0:18:46So, we can clearly see how the plate is stabilising the fracture.

0:18:46 > 0:18:47Suction, please.

0:18:50 > 0:18:53And there's our infamous bullet.

0:18:55 > 0:18:56Very lucky man.

0:18:56 > 0:18:58A centimetre or two to the left, it would have

0:18:58 > 0:18:59severed his cephalic vein.

0:18:59 > 0:19:01- And it's safe to set a plate that close?- Uh-huh.

0:19:01 > 0:19:04Right. Dr McAllister, I'd like you to do the final screw

0:19:04 > 0:19:07and close him up.

0:19:07 > 0:19:08Nice and neat please,

0:19:08 > 0:19:11I'll be checking back the images on the intensifier.

0:19:24 > 0:19:26Listen, do you mind taking this?

0:19:26 > 0:19:28What?

0:19:28 > 0:19:30I didn't want to make a massive deal about it,

0:19:30 > 0:19:32but one of my contact lenses is giving me a bit of grief.

0:19:32 > 0:19:35I don't honestly think it matters which of us does it.

0:19:35 > 0:19:36Besides, I know you're desperate.

0:19:50 > 0:19:53- What happened? - The drill bit chipped on something.

0:19:53 > 0:19:55- Chipped on what?- I don't know!

0:19:55 > 0:19:57He's bleeding. Suction, quick.

0:19:59 > 0:20:01Is it the cephalic vein?

0:20:01 > 0:20:03I don't know.

0:20:03 > 0:20:04Oh, wait, there it is.

0:20:04 > 0:20:05OK, it's fine.

0:20:07 > 0:20:10- We better get Ms Broadhurst. - Are you kidding? No.

0:20:11 > 0:20:14Look, I've got the pieces.

0:20:14 > 0:20:16That's all of them.

0:20:16 > 0:20:17Vitals still stable.

0:20:17 > 0:20:19No harm done.

0:20:23 > 0:20:26All I'm saying is, the cuts, the bruises,

0:20:26 > 0:20:28the cagey way he was answering you, it all fits.

0:20:28 > 0:20:31Yeah, but the bruises could have just as easily been

0:20:31 > 0:20:33caused by another inmate as the guard.

0:20:33 > 0:20:35He's scared of them. You can see he was anxious.

0:20:35 > 0:20:38Well, couldn't he have said something? He's a big boy.

0:20:38 > 0:20:39- Boys.- Huh?

0:20:39 > 0:20:41"One cannot bring up boys to be eagles

0:20:41 > 0:20:43"and expect them to be sparrows."

0:20:44 > 0:20:46That means if men are forced into being...

0:20:46 > 0:20:49Yeah, yeah, yeah. I know what the words mean, Noel, thanks.

0:20:50 > 0:20:53The prison guard, Tony Hughs.

0:20:53 > 0:20:54Maybe he caused this.

0:20:54 > 0:20:56I feel like that's what he was trying to tell me.

0:20:56 > 0:20:59No matter what you feel, Gem,

0:20:59 > 0:21:02it's not our job to go delving about in the underworld, all right?

0:21:02 > 0:21:03We simply don't have the time.

0:21:03 > 0:21:07Now, can't you just stick to porting and shuffling things

0:21:07 > 0:21:09backwards and forwards? Whatever.

0:21:12 > 0:21:13Honestly, you should see this guy.

0:21:13 > 0:21:16I swear the term punch-me-face was designed with him

0:21:16 > 0:21:17specifically in mind.

0:21:17 > 0:21:20Well, I'm sorry you're not enjoying the leisurely pace of Orthopaedics.

0:21:20 > 0:21:22What is that supposed to mean?

0:21:22 > 0:21:24It's not exactly fun, us picking up your slack.

0:21:24 > 0:21:27Oh, is that what everyone has been saying?

0:21:27 > 0:21:29No, it's not you they're annoyed with.

0:21:29 > 0:21:32It's our elusive Clinical Lead. Seriously, I never see the guy

0:21:32 > 0:21:34unless he's in my face shouting about something.

0:21:34 > 0:21:36Well, he's got a lot on.

0:21:36 > 0:21:39It's not his fault you wimped out on a patient because he scared you.

0:21:39 > 0:21:41He nearly broke my nose!

0:21:41 > 0:21:44You should do one thing outside your comfort zone every day.

0:21:46 > 0:21:47Case in point.

0:21:48 > 0:21:51- Have you asked her out yet? - Give it a rest.

0:21:51 > 0:21:52This isn't sixth form.

0:21:54 > 0:21:55She might say no.

0:21:57 > 0:22:00Rash, sometimes I think I'm more of a man than you'll ever be.

0:22:07 > 0:22:10Dr Munroe, did you arrange for Dr Masum

0:22:10 > 0:22:12- and Dr Keogh to switch patients? - Yeah.

0:22:13 > 0:22:15You didn't think to check with me?

0:22:15 > 0:22:16Sorry. I couldn't find you,

0:22:16 > 0:22:18so I thought I would just solve the problem,

0:22:18 > 0:22:19instead of handing it over.

0:22:19 > 0:22:22OK, this works, for the record. So, next time, use it, yeah?

0:22:26 > 0:22:27Everything all right?

0:22:28 > 0:22:29Yes, fine, thank you.

0:22:30 > 0:22:35You know, if you're struggling, your team might moan,

0:22:35 > 0:22:37but they will pick up the slack.

0:22:37 > 0:22:39I appreciate your concern, I do.

0:22:39 > 0:22:42But I could really do without the fatherly pep talk right now, OK?

0:22:42 > 0:22:43Well...

0:22:43 > 0:22:49OK, maybe I could do without having to soak up all the grief

0:22:49 > 0:22:52that you've been handing out to your team.

0:22:52 > 0:22:54So it looks like we're both having to deal with things

0:22:54 > 0:22:57that we don't particularly want to today, doesn't it?

0:22:57 > 0:22:58Sorry?

0:23:01 > 0:23:03I know it's her.

0:23:04 > 0:23:06The blogger.

0:23:07 > 0:23:09Just because she let you down doesn't mean they all have.

0:23:09 > 0:23:12They won't trust you until you learn to trust them.

0:23:12 > 0:23:14As for Alicia...

0:23:14 > 0:23:17well, I think maybe it's time you made it official.

0:23:17 > 0:23:21Either that, or just suck it up and move on.

0:23:31 > 0:23:34OK. You can either wait outside the doors there or, if you'd prefer,

0:23:34 > 0:23:36with the radiographer. All right?

0:23:38 > 0:23:39Are you claustrophobic at all?

0:23:40 > 0:23:42You mean, am I used to confined spaces?

0:23:46 > 0:23:49Yeah, I see, I see. That's very good.

0:23:49 > 0:23:51If you haul yourself on to the bed for me.

0:23:51 > 0:23:54The radiographer will be in just a moment to talk you through

0:23:54 > 0:23:56the final points of the procedure.

0:23:56 > 0:23:58I could listen to this guy for hours.

0:24:02 > 0:24:04- What's this?- No idea.

0:24:05 > 0:24:08You just dropped it.

0:24:08 > 0:24:09Just chuck it.

0:24:09 > 0:24:10And forget about it, all right?

0:24:15 > 0:24:17Can you just lie back for me, please?

0:24:20 > 0:24:21How you feeling, Frank?

0:24:21 > 0:24:23Like I've gone ten rounds.

0:24:25 > 0:24:27Thirsty, bit dizzy.

0:24:27 > 0:24:30Did you feel like this before the fall?

0:24:30 > 0:24:32Not really.

0:24:32 > 0:24:34Your red blood cell count is low.

0:24:34 > 0:24:38You know, I'm going to do some bloods for U&E's.

0:24:38 > 0:24:41Really? Well, I mean, he has just had major surgery.

0:24:41 > 0:24:44- It's enough to make anyone dizzy. - Better safe than sorry.

0:24:46 > 0:24:47Do the bloods.

0:24:47 > 0:24:50Good work today Dr McAllister. Very neat.

0:24:50 > 0:24:51I expect it to heal nicely.

0:24:52 > 0:24:54I'll pop by later. Keep an eye on him, please.

0:24:57 > 0:24:59Excuse me. Call of nature.

0:25:06 > 0:25:08Dr Masum. I've been looking for you.

0:25:08 > 0:25:10You have? Well, here I am.

0:25:12 > 0:25:14- It's kind of delicate.- OK.

0:25:16 > 0:25:20You can call me Rash, by the way. I should have said that before. OK.

0:25:22 > 0:25:24OK. I think Jack might be up to something.

0:25:24 > 0:25:26Jack?

0:25:26 > 0:25:28The prisoner.

0:25:28 > 0:25:31You've seen the cuts on his wrist, he's got these old bruises.

0:25:31 > 0:25:34And he kind of hinted the prison guard you're treating has

0:25:34 > 0:25:35been abusing him.

0:25:36 > 0:25:39Look, I don't know what he's up to, but he dropped this.

0:25:39 > 0:25:41He trusted me to keep it a secret.

0:25:41 > 0:25:45But if something happens, I don't want people thinking I'm involved.

0:25:45 > 0:25:47Dr Masum? We need you in here.

0:25:47 > 0:25:50Just one minute. I'll go see to this.

0:25:54 > 0:25:56- He's regained consciousness.- OK.

0:26:01 > 0:26:04OK, let's sit you up.

0:26:04 > 0:26:06Nice and easy.

0:26:06 > 0:26:07That's it.

0:26:07 > 0:26:09Steady, steady.

0:26:09 > 0:26:12Here, see if you can manage some water, OK?

0:26:12 > 0:26:15- Jack...?- Yeah, he's here.

0:26:15 > 0:26:17You're in Holby City Emergency Department, OK?

0:26:17 > 0:26:20Is he... Is he all right?

0:26:20 > 0:26:23Jack? Yeah, he's fine.

0:26:23 > 0:26:26Tony, do you remember what happened?

0:26:26 > 0:26:30Yeah. He... He was trying to harm himself.

0:26:50 > 0:26:54So he finished his breakfast duties, then went off to make a phone call.

0:26:54 > 0:26:57Next thing I know, he's back in the kitchen with a knife to his wrist.

0:26:57 > 0:27:01I was obviously worried, so I tried to grab him from behind.

0:27:01 > 0:27:02So why would he do that?

0:27:04 > 0:27:06When he first arrived with us, he was jugged.

0:27:06 > 0:27:09- Jugged?- Scalding water poured down your back.

0:27:11 > 0:27:13The poor lad gets a kicking every other day, to be honest.

0:27:13 > 0:27:15He probably thinks I'm following him around.

0:27:15 > 0:27:18I'm not, I'm just trying to look out for him.

0:27:18 > 0:27:19We just don't have the resources

0:27:19 > 0:27:21to monitor the inmates properly, you know.

0:27:21 > 0:27:23Has he ever raised a complaint?

0:27:25 > 0:27:26No, that would be asking for help.

0:27:27 > 0:27:30Some family members will, but Jack hasn't got any.

0:27:30 > 0:27:32- No family at all? - None that I've ever seen.

0:27:35 > 0:27:38This phone call that he made, can you find out who it was to?

0:27:38 > 0:27:40I can try, if you can find me a phone.

0:27:40 > 0:27:43Tony, his injuries would seem to suggest that he wasn't trying

0:27:43 > 0:27:44to kill himself.

0:27:44 > 0:27:46Well, what then?

0:27:46 > 0:27:47I'm only telling you what I saw.

0:27:51 > 0:27:54Broadhurst was asking after you. I covered.

0:27:54 > 0:27:57- What you doing? - Something's not right.

0:27:57 > 0:28:00Frank is dizzy, his blood pressure's up,

0:28:00 > 0:28:03- he's complaining of a headache. I just don't know why.- Here.

0:28:04 > 0:28:07That supposed to make everything better, is it?

0:28:07 > 0:28:09Look, I know I took credit for the surgery,

0:28:09 > 0:28:10but what else could I do?

0:28:10 > 0:28:13Correcting her would have made us both look bad...

0:28:13 > 0:28:15You are just like every other privately-educated boy

0:28:15 > 0:28:17in medical school.

0:28:17 > 0:28:19You're completely lost in a conversation

0:28:19 > 0:28:22- unless you're sticking the knife in. - Wow, that's a generalisation.

0:28:22 > 0:28:24Yeah, but it's true though, isn't it?

0:28:25 > 0:28:27Do you ever stop to think about things from someone else's

0:28:27 > 0:28:29point of view?

0:28:29 > 0:28:32Ms Broadhurst is a first generation British Pakistani who grew up on

0:28:32 > 0:28:34a council estate.

0:28:34 > 0:28:38She's clawed her way up through the system despite men like me.

0:28:38 > 0:28:41She looks at me and sees the enemy.

0:28:41 > 0:28:42So, yeah, I want to impress her.

0:28:45 > 0:28:47And if you need to hear me say it, then, I'm sorry.

0:28:49 > 0:28:51None of us can help who we are.

0:28:56 > 0:28:59Please, Noel? Two minutes?

0:28:59 > 0:29:00Look, I'm sorry, Gem.

0:29:00 > 0:29:03If Dr Hardy catches you doing personal work on hospital computers,

0:29:03 > 0:29:05it's going to be little lovely old me

0:29:05 > 0:29:06that gets it in the neck and not you.

0:29:08 > 0:29:10- You'd take the wrap for me? - Well, it would be my responsibility.

0:29:10 > 0:29:13Hold on, I wouldn't have much of a choice, would I?

0:29:13 > 0:29:14That is so kind of you.

0:29:16 > 0:29:19- Thank you. I appreciate it. - Well, you're welcome, I guess.

0:29:19 > 0:29:21- Yes, madam?- Cheers, Noel.

0:29:23 > 0:29:24Thanks.

0:29:24 > 0:29:27Can you please take a seat and I'll get someone to look at you

0:29:27 > 0:29:29as soon as they're available.

0:29:36 > 0:29:38Hello!

0:29:38 > 0:29:39Iain, are you here, mate?

0:29:41 > 0:29:43Hey.

0:29:43 > 0:29:45What are you... What are you doing?

0:29:45 > 0:29:47- Oil change.- Nice.

0:29:47 > 0:29:49Bit of TLC on the old girl?

0:29:51 > 0:29:53Yeah. Well, she's done more miles than the rest.

0:29:53 > 0:29:55She's not due a service for another month, so I thought

0:29:55 > 0:29:58I'd top her up... Pass us that semi synth, will you?

0:29:58 > 0:29:59Yeah, sure.

0:30:02 > 0:30:04- Coffee?- Nice one.- Here you are.

0:30:07 > 0:30:08That's windscreen washer fluid.

0:30:08 > 0:30:11- Yeah, I know, I was just... - What do you want, Rash?

0:30:13 > 0:30:17I wanted to ask about Jack, the prisoner from this morning.

0:30:17 > 0:30:21It's a bit delicate, but did he seem suicidal to you?

0:30:21 > 0:30:24Sam dealt with that one. But I didn't notice nowt unusual.

0:30:24 > 0:30:26I wouldn't say suicidal.

0:30:26 > 0:30:28Actually, he was more compliant than I expected.

0:30:36 > 0:30:38Ah, Dr Kinsella. I was just talking to Dr McAllister.

0:30:38 > 0:30:42I wondered if you'd both join me for dinner tonight at my club?

0:30:42 > 0:30:44Great. Thanks.

0:30:44 > 0:30:45FRANK SCREAMS IN PAIN

0:30:45 > 0:30:47Help me, would you?

0:30:47 > 0:30:48Lie him back.

0:30:52 > 0:30:55Who are you people? Get out of my house.

0:30:55 > 0:30:56Frank, you're in hospital.

0:30:58 > 0:31:01Distended abdomen. What are our differential diagnoses?

0:31:01 > 0:31:03Some kind of bowel obstruction.

0:31:03 > 0:31:05I ran a blood test.

0:31:05 > 0:31:07He does have high levels of sodium and potassium.

0:31:09 > 0:31:11Lead.

0:31:11 > 0:31:13It could be lead poisoning.

0:31:13 > 0:31:15I know it's really unusual, but the bullet...

0:31:15 > 0:31:17OK. Let's make him comfortable

0:31:17 > 0:31:20and get the lab to run a toxicology screen on the bloods.

0:31:20 > 0:31:21If positive, what then?

0:31:23 > 0:31:24Increase his IV fluids?

0:31:26 > 0:31:28He'll need a nasogastric tube and possibly chelation.

0:31:28 > 0:31:31Good. Run the tests, quickly.

0:31:33 > 0:31:36That's right. According to the information I have

0:31:36 > 0:31:38from Stonehurst Prison, the inmate Jack MacLellon made a call

0:31:38 > 0:31:41to this number at 9:05 this morning?

0:31:41 > 0:31:42Yeah, sure I'll hold.

0:31:42 > 0:31:45Sorry, Dr Masum. Can you give these to Gem for me, please?

0:31:45 > 0:31:46Yeah, sure.

0:31:46 > 0:31:49Noel, hang on, did you say these were for Gem?

0:31:49 > 0:31:53Yeah, it's some info about Anders Hospice, Knott Way.

0:31:53 > 0:31:55- She was looking it up earlier.- Why?

0:31:55 > 0:31:57I'm on the phone to them right now.

0:31:57 > 0:32:00Yep. Yes, that's right,

0:32:00 > 0:32:04we're treating Mr MacLellan here at Holby City ED.

0:32:04 > 0:32:06Well, it's a little unorthodox,

0:32:06 > 0:32:08but it may have a bearing on our treatment.

0:32:08 > 0:32:10I was wondering if you could tell me what the

0:32:10 > 0:32:12nature of his call to you was?

0:32:15 > 0:32:16When was this?

0:32:19 > 0:32:20OK.

0:32:20 > 0:32:22No, no that's been very helpful. Thank you.

0:32:30 > 0:32:33- Duffy, have you seen Gem or Dr Hardy?- No.

0:32:33 > 0:32:34OK, we need to find them.

0:32:36 > 0:32:38Dr Masum!

0:32:38 > 0:32:40- He's arresting. - OK, let's bring the bed down.

0:32:44 > 0:32:45It must be his pacemaker.

0:32:50 > 0:32:52Hang on.

0:32:53 > 0:32:55He's in PEA arrest.

0:32:55 > 0:32:57I need to see his previous ECG readings.

0:32:57 > 0:32:58I did his ECG five minutes ago.

0:33:00 > 0:33:03Right, there! At the end of each set. Tall tented T-waves.

0:33:03 > 0:33:05- It's hyperkalaemia.- You're sure?

0:33:05 > 0:33:06Yeah, from the electrocution.

0:33:06 > 0:33:08His muscles contracted, myoglobin's released.

0:33:08 > 0:33:11OK, we're going to need to flood his heart with calcium to

0:33:11 > 0:33:12protect against the effects.

0:33:12 > 0:33:14Can we get 10ml of 10% calcium chloride,

0:33:14 > 0:33:17followed by ten units of insulin and a bag of dextrose?

0:33:17 > 0:33:19- OK.- OK. Two...

0:33:26 > 0:33:29Hang on, before you put the cuffs on...

0:33:29 > 0:33:32we're going to move you in a minute, actually.

0:33:32 > 0:33:35Oi, listen, can I get one of them bottles?

0:33:35 > 0:33:37I've got to spend a penny.

0:33:37 > 0:33:40Yeah, yeah, you can have this one.

0:33:40 > 0:33:43Now, your CT and angiogram came back clear, there's no damage to the

0:33:43 > 0:33:46artery, so, miraculously, theatre is clear at the moment.

0:33:46 > 0:33:48We're going to prep you for surgery.

0:33:48 > 0:33:50Do you have any allergies that we need to know about?

0:33:50 > 0:33:52- Are you on any medication?- No, why?

0:33:52 > 0:33:54- You're not putting me to sleep, are you?- Well, yeah.

0:33:54 > 0:33:56It's a complex surgical procedure

0:33:56 > 0:33:58and we need to give you a general anaesthetic.

0:33:58 > 0:33:59I don't want that.

0:33:59 > 0:34:02Well, with the best will in the world, there's not really a choice,

0:34:02 > 0:34:05unless you want to lose the use of that leg entirely?

0:34:07 > 0:34:08No, didn't think so.

0:34:10 > 0:34:12Look, can I get some privacy?

0:34:12 > 0:34:15Yes, yeah, yeah, of course. You do what you need to do,

0:34:15 > 0:34:16let us do what we need to do,

0:34:16 > 0:34:19and we'll have you back in your cell in no time at all, all right?

0:34:19 > 0:34:22Now, I need to have a quick word with you in terms of protocol

0:34:22 > 0:34:25about the procedure we're about to do.

0:34:25 > 0:34:27Would you mind coming with me?

0:34:31 > 0:34:33Calcium chloride going in.

0:34:33 > 0:34:35- Come on, come on. Keep it coming.- Yeah.

0:34:39 > 0:34:41OK, pulse check.

0:34:43 > 0:34:47I'm getting an output. Rate about 70. Nice work.

0:34:48 > 0:34:50OK, let's get him on some IV dextrose

0:34:50 > 0:34:53and get a cardiologist down here as quick as we can.

0:34:53 > 0:34:54I'll be back in a minute.

0:35:00 > 0:35:03I think I know what you're planning and you need to stop right now.

0:35:03 > 0:35:05- What're you doing?! - Don't make a sound.

0:35:05 > 0:35:07You're helping me out of here.

0:35:09 > 0:35:10Please.

0:35:10 > 0:35:13It's...for him to wake up and find himself restrained...

0:35:13 > 0:35:15Dr Keogh, have you seen Gem?

0:35:15 > 0:35:17Gem?

0:35:17 > 0:35:18Hang on.

0:35:25 > 0:35:27It's never going to happen.

0:35:29 > 0:35:31Get me to that car park, yeah?

0:35:37 > 0:35:39Gem. Everything all right?

0:35:39 > 0:35:41- Yeah, good. Cheers, mate. - Yeah, we're fine.

0:35:44 > 0:35:46Noel. Noel, has Gem been through here?

0:35:46 > 0:35:48Yeah, she's just got in a lift with that prisoner guy.

0:35:48 > 0:35:51- He took Gem.- What? - Noel, we have to find her!

0:35:54 > 0:35:56You won't get far like this.

0:35:56 > 0:35:58Come on, come on!

0:35:58 > 0:36:00You need to get that leg seen to.

0:36:01 > 0:36:03Excuse me, excuse me.

0:36:03 > 0:36:05- Dr Masum?- Sorry!

0:36:05 > 0:36:07I'm telling you, you won't.

0:36:07 > 0:36:08Argh!

0:36:13 > 0:36:14Give me that, give me that.

0:36:22 > 0:36:24Get in, go!

0:36:30 > 0:36:32Listen, I just need half an hour, that's all.

0:36:36 > 0:36:38This isn't going to work. They know you know you've gone,

0:36:38 > 0:36:41- they'll come after us. - What, you think I don't know that?!

0:36:41 > 0:36:42Please!

0:36:48 > 0:36:49There she is!

0:36:52 > 0:36:54Jack, stop, stop!

0:37:04 > 0:37:08- Get back! You let us go!- OK! - I'll cut her! I swear I'll do it!

0:37:08 > 0:37:10OK, OK. Let's just take a breath, all right?

0:37:10 > 0:37:13- Listen, we're driving out of here, all right? No fuss!- Rash...

0:37:15 > 0:37:17- Listen, I know where you're going... - Get back!

0:37:17 > 0:37:19- I know where you're going and I know why.- Just back off!

0:37:19 > 0:37:21The Anders Home, the hospice.

0:37:21 > 0:37:24Jack, it's too late, OK?

0:37:24 > 0:37:27Your uncle, he's dead.

0:37:30 > 0:37:33You spoke to them this morning. He'd had a stroke. I know.

0:37:33 > 0:37:35But he passed away.

0:37:36 > 0:37:37Two hours ago.

0:37:40 > 0:37:44I know it doesn't change things, but they said he didn't suffer...

0:37:44 > 0:37:45in the end.

0:37:46 > 0:37:48I just wanted to say goodbye.

0:37:49 > 0:37:50I know.

0:37:53 > 0:37:56I'm really sorry, OK?

0:38:02 > 0:38:03It's all right, OK? It's OK.

0:38:10 > 0:38:13Lead poisoning?

0:38:13 > 0:38:14After all these years?

0:38:14 > 0:38:17Toxicology confirms it.

0:38:17 > 0:38:19I mean, the bullet could have been aggravated by the fracture.

0:38:19 > 0:38:20We don't know.

0:38:22 > 0:38:24We can treat you for the poisoning.

0:38:24 > 0:38:26But the surgeon agrees, it has to come out.

0:38:26 > 0:38:28I know it's important to you.

0:38:29 > 0:38:30Oh, you know nothing.

0:38:32 > 0:38:36You know how I told you my uncle fought in the Falklands?

0:38:36 > 0:38:38What I didn't tell you was that he died there.

0:38:40 > 0:38:43I think it would have been a real honour for men like him

0:38:43 > 0:38:44to know that you've moved on.

0:38:46 > 0:38:49Look, if you don't let us take it out, there's a real chance

0:38:49 > 0:38:51it's going to cause you further serious discomfort.

0:38:51 > 0:38:53It already causes me discomfort.

0:38:55 > 0:38:56It hurts...

0:38:57 > 0:39:00When it's damp or cold, it hurts.

0:39:02 > 0:39:03That's why I keep it.

0:39:06 > 0:39:09You have any idea what I did at the Battle of Goose Green?

0:39:11 > 0:39:14I hid.

0:39:15 > 0:39:20First sign of incoming fire, I just froze.

0:39:21 > 0:39:23Hardly got any shots away.

0:39:24 > 0:39:27And then one came and hit me in the back.

0:39:28 > 0:39:30And it was over.

0:39:32 > 0:39:34And the relief...

0:39:37 > 0:39:39Do you think that makes you any less of a man?

0:39:44 > 0:39:49This thing is the only reason I've been able to live with myself.

0:39:51 > 0:39:53Do you know what I think?

0:39:53 > 0:39:55It's time to stop hiding.

0:39:59 > 0:40:02You seen Dr Hardy? I need him to sign these off.

0:40:02 > 0:40:04I think he's in a meeting.

0:40:05 > 0:40:07Honestly, he makes this impossible.

0:40:11 > 0:40:14Is that why you wrote all that stuff on the blog?

0:40:14 > 0:40:17And no, I haven't told anyone else yet.

0:40:20 > 0:40:22Why on earth did you do that?

0:40:22 > 0:40:25You must have known he would take a lot of that personally.

0:40:25 > 0:40:27I don't know.

0:40:29 > 0:40:33I felt helpless and angry, and it was an outlet.

0:40:36 > 0:40:40It was on impulse and then it just took on a life of its own.

0:40:43 > 0:40:44Look, I know I've hurt people.

0:40:48 > 0:40:50Are you going to tell anyone?

0:40:50 > 0:40:52Well, they have a right to know.

0:40:53 > 0:40:55Though, I don't see how that would help anyone.

0:40:57 > 0:40:58It's not been easy here lately.

0:40:59 > 0:41:03But the one who'll be feeling that most is Ethan.

0:41:22 > 0:41:25Thanks.

0:41:25 > 0:41:26Sorry, sorry.

0:41:27 > 0:41:30Bit rich from Frank today, don't you think?

0:41:30 > 0:41:33All those years he had everyone believe he was a war hero.

0:41:35 > 0:41:38- I thought he was pretty brave, actually.- Brave?

0:41:38 > 0:41:40Telling the truth.

0:41:40 > 0:41:42It's hard living with something like that.

0:41:43 > 0:41:46I don't quite know why you're defending him.

0:41:46 > 0:41:47It's not like he made treating him easy.

0:41:47 > 0:41:50I mean, the guy patently hid the fact he had all the

0:41:50 > 0:41:51symptoms of lead poisoning.

0:41:51 > 0:41:53Well, we don't know that for sure, do we?

0:41:57 > 0:41:59I mean, the poisoning could have been

0:41:59 > 0:42:02exacerbated by the complications in surgery.

0:42:05 > 0:42:08Perhaps one of you should explain?

0:42:10 > 0:42:13In his surgery, you asked Eddie to do the final screw.

0:42:15 > 0:42:16But I did it instead.

0:42:16 > 0:42:18Why?

0:42:20 > 0:42:22I asked her to.

0:42:22 > 0:42:24I was excited.

0:42:24 > 0:42:27But the drill slipped, causing some damage.

0:42:27 > 0:42:28We recovered the fragments...

0:42:28 > 0:42:31But, in retrospect, you think it may have aggravated the bullet

0:42:31 > 0:42:33and exacerbated his lead poisoning?

0:42:36 > 0:42:38And neither of you thought to tell me about it?

0:42:38 > 0:42:40We didn't want to create a complication where we didn't

0:42:40 > 0:42:42think it was necessary. I mean...

0:42:42 > 0:42:45We were thinking about the International Trauma Course.

0:42:45 > 0:42:47We both wanted to join you.

0:42:47 > 0:42:49We were just trying to impress.

0:42:53 > 0:42:54Well.

0:42:58 > 0:42:59There it is.

0:43:01 > 0:43:02Shall we eat?

0:43:13 > 0:43:15OK, people, can you just move back, please?

0:43:15 > 0:43:18Just move back across the line. Thank you very much.

0:43:18 > 0:43:21Jack, I did ask about viewing your uncle's body.

0:43:21 > 0:43:22Yeah, well...

0:43:22 > 0:43:25I should have just asked for compassionate release

0:43:25 > 0:43:27as soon as I heard.

0:43:27 > 0:43:29I just thought that with my record...

0:43:29 > 0:43:31I don't know.

0:43:32 > 0:43:35- I just... - Just don't like asking for help?

0:43:35 > 0:43:37Look, I know you've had it tough inside,

0:43:37 > 0:43:40but it seems like Tony's got your back.

0:43:40 > 0:43:41There you go.

0:43:41 > 0:43:43Every cloud...

0:43:44 > 0:43:46I'm sorry about your nose, yeah?

0:43:48 > 0:43:50Forget about it.

0:43:50 > 0:43:53Check you out, tough guy.

0:44:11 > 0:44:13My office, 9am tomorrow.

0:44:13 > 0:44:15- We'll talk more. Goodnight both of you.- Night.

0:44:55 > 0:44:58I know it was Eddie who asked you to take over,

0:44:58 > 0:44:59and to hide your mistake.

0:44:59 > 0:45:03How? And the fact you played along makes you just as culpable.

0:45:05 > 0:45:09You're confident in your actions, but it's not enough.

0:45:09 > 0:45:11You have to trust in your judgment.

0:45:11 > 0:45:14Some will play the game, pass blame, score points,

0:45:14 > 0:45:15but it's not the only way.

0:45:17 > 0:45:20I see something in you, Dr Kinsella.

0:45:20 > 0:45:21Get some rest.

0:45:22 > 0:45:24The competition isn't over yet.

0:45:32 > 0:45:34Well, I'm sorry to say you won't be left with any battle scars

0:45:34 > 0:45:36to brag about. Pity.

0:45:36 > 0:45:38The old mug could do with a bit of character.

0:45:38 > 0:45:42Oh, I don't know. I'd say it's already pretty characterful.

0:45:42 > 0:45:43In a good way, I mean.

0:45:45 > 0:45:46Right.

0:45:49 > 0:45:51- I'm a bit shaky. Is that normal? - Yeah.

0:45:51 > 0:45:53You've suffered a shock.

0:45:53 > 0:45:54You release adrenaline,

0:45:54 > 0:45:56your blood pressure, your heart rate goes up.

0:45:56 > 0:45:58Lots of endorphins released.

0:45:58 > 0:46:00It can play tricks on your mind.

0:46:00 > 0:46:02Make you do strange things.

0:46:04 > 0:46:06What do you recommend I do?

0:46:07 > 0:46:11Officially? An early night, lots of water to keep yourself hydrated.

0:46:12 > 0:46:15Unofficially, a massive glass of wine.

0:46:17 > 0:46:19Are you asking me out for a drink, Dr Masum?

0:46:21 > 0:46:23I'm just kidding.

0:46:26 > 0:46:28Well, I'm all done.

0:46:28 > 0:46:30Good to go. Police are happy to speak to you tomorrow.

0:46:30 > 0:46:33Thank you so much, Rash, I owe you one.

0:46:33 > 0:46:34Come on you.

0:46:37 > 0:46:39Have a nice evening.

0:46:39 > 0:46:41- See you tomorrow.- You too.

0:46:42 > 0:46:43Rash?

0:46:45 > 0:46:47What I said before about the running...

0:46:50 > 0:46:52..I take it back.

0:46:52 > 0:46:54Today I was impressed.